Addressing Social Risks in Cancer Care Delivery Virtual Workshop (NCI)

Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Addressing Social Risks in Cancer Care Delivery Virtual Workshop (NCI) Form
1 ASR Workshop registration ASR Workshop Registration Form Screenshots.pdf Form
1 ASR Workshop registration ASR Workshop Registration Form Screenshots.pdf Form
Sub-Study Request DCCPS Social Risk Workshop.docx Addressing Social Risks in Cancer Care Delivery Virtual Workshop (NCI) IC Document
Sub-Study Request DCCPS Social Risk Workshop.docx Addressing Social Risks in Cancer Care Delivery Virtual Workshop (NCI) IC Document
ASR Workshop Registration Email.docx email invite IC Document
ASR Workshop Registration Email.docx email invite IC Document

Information Collection (IC) Details

IC Title:	Addressing Social Risks in Cancer Care Delivery Virtual Workshop (NCI)	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	ASR Workshop registration	ASR Workshop Registration Form Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	29	29
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Addressing Social Risks in Cancer Care Delivery Virtual Workshop (NCI)	Sub-Study Request DCCPS Social Risk Workshop.docx	08/16/2021
email invite	ASR Workshop Registration Email.docx	08/16/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.