Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2010 NCI Cancer Bulletin Reader Survey (sub-study #1) Unchanged 5500 917 0 Form and Instruction 1 NCI Cancer Bulletin Survey
Bundled Sub-Studies #20 (Concise ICD), #21 (Accrual CT), and #22 (Spanish Consent) New 450 232 0 Form and Instruction 1 Screener ICD
Form and Instruction 2 Survey Screenshots ICD
Form and Instruction 3 Oncology Survey Screenshots Accrual CT
Form and Instruction 4 Staff Survey Screenshots Accrual CT
Form and Instruction 5 Concept Survey Screenshots Accrual CT
Form and Instruction 6 Prospective Survey Screenshots Accrual CT
Form and Instruction 7 Screener Spanish Consent
Form and Instruction 8 English Interview Guide - Spanish Consent
Form and Instruction 9 Spanish Interview Guide - Spanish Consent
Bundled Sub-studies #14, #15, #16 (#14 WYNTK, #15 Accrual CT, #16 CIRB Pilot) New 3322 644 0 Form and Instruction 14 Attach 14A and 14B (Interview Guide and Screener)
Form and Instruction 15 Attach 15A and 15B Oncology Survey & Staff Survey
Form and Instruction 16 #16_Attach 16B 16C 16D 16E 16F Survey and Forms
Bundled Sub-studies #5 (Focus Groups) and #6 (Survey) to Test Messages and Raise Public Awareness about NIH Clinical Trials New 846 368 0 Form and Instruction 1 #5 Moderators Guide and Screener
Form and Instruction 2 #6 Web-based Survey
Bundled Sub-studies #7 (PSA Decision Making Focus Groups) and #8 (PIO Customer Satisfaction Survey) New 410 119 0 Form and Instruction 1 #7 Attach 7A, 7B, 7F Screener, FG Guide, Questionnaire
Form and Instruction 2 #8_Attach 8A_PIO Survey
Form and Instruction 1 REVISED #7
Bundled Sub-study #11, 12 and #13 (#11 Mentorship Program; #12 Medical Oncologist Practice of Care; #13 Nightshift Work and Sleep in China) New 456 118 0 Form and Instruction 1 Mentee Application and Competancy Assessment
Form 2 MISC Survey
Form and Instruction 3 Nightshift and Sleep Qx.
Bundled Sub-study #9 and #10 (#9 IRB Policy Regarding NCI Action Letters and; #10 NCI Cancer Research Imaging Camp) New 710 67 0 Form 2 #10_Attach 10C_Camp Survey
Form 1 #9_Attach 9B_IRB Policy Survey
Bundled sub-studies #17 (CIS) and #18 (Message) New 335 156 0 Form and Instruction 1 #17 Email Form and Survey
Form and Instruction 2 #18 Moderator's Guide and Screener
Revised_#3 and #4 Bundled Sub-studies for Interviews-Focus Groups for Nursing Education (#3) and Message testing for Genomics and Genetics (#4) New 211 184 0 Form and Instruction 1 #3_Nurses Study_Attach A3-5, A7, A9 Discuss Guides
Form and Instruction 2 #4_Rev_Attach B2, B3, B4, and B5_Genomics
Sub-Study #3_NCI Cancer.gov Evolution - User Focus Groups and Triads Unchanged 80 103 0 Form and Instruction 2 #2_Attach 2_Mod Guide Triad
Form and Instruction 1 #2_Attach 1_Mod Guide Focus Group
Form and Instruction 3 #2_Attach 3_Screener Patient-Friends-Family_Cancer evol
Form and Instruction 4 #2_Attach 4_Screener HCP Triad_Cancer evol
Form and Instruction 5 #2_Attach 5_Screener Research Triad_Cancer evol
Form and Instruction 6 #2_Attach 6_Screener Advocate Triad_Cancer evol
Sub-study #19: Addendum to Pilot Study Proposed New Model for the CIRB Participating Institution New 50 30 0 Form and Instruction 19 #19_Attach 19A_19B_CIRB Addendum
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 12370 2938 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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