Form 1 2021 Cancer Fatigue survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

NINR_Survey_2021-10-06

Collecting Feedback from Cancer Fatigue Event Participants (NINR)

OMB: 0925-0648

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NINR Outreach Group Survey - Saved

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NINR Outreach Group Survey
OMB NO: 0925-0648


EXPIRATION DATE: 06/30/2024



OMB BURDEN STATEMENT: Public reporting burden for this collection of information is estimated to average 5
minutes or less per response. An agency may not conduct or sponsor, and a person is not required to respond to,
a collection of information unless it displays a currently valid OMB control number. Send comments regarding
this burden estimate or any other aspect of this collection of information, including suggestions for reducing this
burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN:
PRA (0925-0648). 


1. How would you rate this education program from 0-5 (0 being the least effective, 5 being the
most effective)
0
1
2
3
4
5

2. What topic/content did you like most?
Enter your answer

3. How can we improve our presentation?
Enter your answer

4. What other topics do you want to learn about?
Enter your answer

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File Created2021-10-06

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