Collecting Feedback from Cancer Fatigue Event Participants (NINR)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Collecting Feedback from Cancer Fatigue Event Participants (NINR) Form
1 2021 Cancer Fatigue survey NINR_Survey_2021-10-06.pdf Form
NINR_SurveyEmail_2021-10-06.pdf email invite IC Document
NINR_FastTrack_2021-10-06.docx Collecting Feedback from Cancer Fatigue Event Participants (NINR) IC Document

Information Collection (IC) Details

IC Title:	Collecting Feedback from Cancer Fatigue Event Participants (NINR)	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	2021 Cancer Fatigue survey	NINR_Survey_2021-10-06.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 140	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	140	140
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
email invite	NINR_SurveyEmail_2021-10-06.pdf	10/14/2021
Collecting Feedback from Cancer Fatigue Event Participants (NINR)	NINR_FastTrack_2021-10-06.docx	10/14/2021

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