Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Evaluation of the Cancer Control P.L.A.N.E.T. New 2100 445 0 Form 1 Online Survey
Other-Interview
Feedback about SPORE Webpage Information and Instructions (NCI) New 300 315 0 Form and Instruction 1 SPORE Webpage Instructions
Form 2 SPORE webpage survey
Formative assessment to inform the redesign of the Research Tested Intervention Programs (RTIPS) website New 20 10 0 Form and Instruction 1 Interview Guide
Market Research to Inform Next Generation Physician's Data Query (PDQ) (NCI) New 1149 144 0 Form and Instruction 1 Patient Screener (screenshot)
Form and Instruction 2 Caregiver Screener (screenshot)
Form and Instruction 3 Medical Oncologist Screener (screenshot)
Form and Instruction 4 PCP Screener (screenshot)
Form and Instruction 5 Oncology Nurse Screener (screenshot)
Form and Instruction 6 Non-Oncologist Clinician Screener (screenshot)
Form and Instruction 7 Radiation Oncologist Screener (screenshot)
Form and Instruction 8 Medical Director Screener (screenshot)
Form and Instruction 9 Navigator Screener (screenshot)
Form and Instruction 10 Patient Interview
Form and Instruction 11 Caregiver Interview
Form and Instruction 12 Oncologist Interview
Form and Instruction 13 PCP Interview
Form and Instruction 14 Oncology Nurse Interview
Form and Instruction 15 Non-Oncologist Clinician Interview
Form and Instruction 16 Radiation Oncologist Interview
Form and Instruction 17 Medical Director Interview
Form and Instruction 18 Navigator Interview
Maternal Obesity New 500 68 0 Form 1 Online Prescreener
Form 2 Telephone Screener NICHD NCMHEP Maternal Obesity
Form 3 Discussion Guide NICHD NCMHEP Maternal Obesity
National Cancer Institute Cohort Consortium Progress Report New 50 17 0 Form 1 Working Group Progress Report Questions
Personas and Experience Mapping Project (NCI) New 16 19 0 Form and Instruction 1 Screenshot Researcher Personas
Form and Instruction 2 Interview Guide Personas Project
Pilot Study for The Center for Cancer Research (CCR) Faculty Recruitment Application Website (NCI) New 2075 256 0 Form and Instruction 1 Application form
Form 2 Feedback survey
Form and Instruction 3 reference request
Pilot Survey Communications Fellowship (NCF) Program Application (NCI) New 480 246 0 Form 1 NCF Applications
Form 2 NCF Feedback Survey
Form and Instruction 3 NCF References
Pilot Survey Introduction to Cancer Research Careers (ICRC) (NCI) New 480 246 0 Form and Instruction 1 ICRC Application
Form 2 ICRC Pilot Survey
Form 3 ICRC Reference Module
Pilot Testing Center for Cancer Training (CCT) Application Form for electronic Individual Development Plan (eIDP) (NCI) New 2000 726 0 Form and Instruction 1 Initial Trainees screenshots
Form and Instruction 2 Exit Survey Part 1 Alumni
Form and Instruction 3 Exit Survey Part 2 - Feedback
Form and Instruction 4 Pilot Feedback Survey
Smokefree 60+ Intercept Survey New 3000 200 0 Form and Instruction 1 Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 12170 2692 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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