PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
2017 NCORP Annual Meeting Assessment and Feedback
New
225
38
0
Form
1
SurveyMonkey for NCORP
2018 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Post-Conference Feedback Survey
New
1100
92
0
Form
1
2018 BRAIN PI meeting
2018 NCORP Annual Meeting Assessment and Feedback (NCI)
New
225
38
0
Form
1
2018 NCORP Annual Meeting Planning Survey
2018 NCORP Annual Meeting Pre- Meeting Evaluation and Feedback
New
250
21
0
Form and Instruction
1
2018 NCORP Annual Meeting Planning Survey
2nd RAS Initiative Symposium Feedback Survey
New
350
18
0
Form
1
2nd RAS survey questions
ASA24 Customer Satisfaction Survey (NCI)
New
1485
248
0
Form
1
ASA24 User Survey
Assessment of 2018 HINTS Data Users Conference (NCI)
New
150
13
0
Form
1
HINTS survey
CBIIT Service Now Customer Satisfaction Survey (NCI)
New
9250
463
0
Form
1
Service Now Survey
CTSU Multi-Group Audit (MGA) Feedback Surveys
New
2500
417
0
Form
1
MGA Feedback Survey AUDIT Staff screenshots
Form
2
MGA Feedback Survey SITE Staff screenshots
Cancer Prevention Fellowship Program (CPFP) Fellows Research Meeting (FRM) Speaker Survey (NCI)
New
35
6
0
Form
1
FRM Fellow Survey Form
Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual Survey (NCI)
New
100
48
0
Form and Instruction
1
CPF Survey 2018 First Year Fellows
Form and Instruction
2
CPF Survey 2018 Senior Fellows
Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI)
New
100
33
0
Form
1
Speaking About Science Workshop
Child Care Needs Survey (NCI)
New
6200
1200
0
Form
1
Childcare study survey
Form and Instruction
2
listening session guiding questions
Customer Satisfaction Survey for CBIIT Events
New
400
20
0
Form
1
CBIIT Event Survey
Customer Satisfaction Survey for CBIIT's Newsletter and Intranet
New
330
55
0
Form
1
Survey
Customer Satisfaction Surveys for CBIIT Solutions Website
New
5000
417
0
Form
1
CBIIT Soultions Survey
EXPOSE Alumni Survey Fast track (NCI)
New
20
2
0
Form
1
EXPOSE Alumni Survey
Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Poll (NCI)
New
150
13
0
Form
1
EGRP SeqSPACE Webinar Survey
Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey
New
152
13
0
Form
1
SeqSPACE survey question screenshots
Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research
New
200
17
0
Form
1
Screenshot from survey to inform Workshop discussion
Grants and Grantsmanship Workshop Survey
New
100
33
0
Form
1
CPFP Grants Workshop Evaluation
Hallway Interviews about myNCI with NCI staff (NCI)
New
100
8
0
Form and Instruction
1
myNCI Hallway Interview Guide
Healthcare Delivery Research Program Communications Evaluation Survey
New
500
25
0
Form
1
HDRP Survey
Healthcare Teams Cyber Discussion Feedback Survey (NCI)
New
100
8
0
Form and Instruction
1
Healthcare Teams CD Survey
Implementation Science (IS) at a Glance (NCI)
New
80
20
0
Form
1
IS Survey Screenshots
Information Gathering for Employee Wellness Program Needs (NCI)
New
3000
100
0
Form
1
Wellness Survey Questionns
NCEF Survey for Program Operations
New
120
6
0
Form
1
Customer Survey
NCI CPFP Daily Summer Curriculum Survey
New
1875
156
0
Form
1
CPFP NCI Summer Curriculum Daily Survey
NCI CPFP End of Course Summer Curriculum Survey
New
150
13
0
Form
1
End of Course Summer Curriculum Survey
NCI CPFP Follow-Up Summer Curriculum Survey
New
150
13
0
Form
1
Summer Curriculum Program Follow-Up Survey
NCI CPFP Summer Curriculum Focus Group Survey
New
72
1
0
Form
1
Focus Group Question
NCI Digital Communications University (DCU) Survey
New
400
33
0
Form
1
DCU Survey Screenshots
NCI Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey
New
40
7
0
Form and Instruction
1
EXPOSE PRE-SURVEY
Form and Instruction
1
EXPOSE POST SURVEY
NCI Healthcare Teams Cyber Discussion Feedback Survey
New
90
8
0
Form
1
Post-Event Survey: NCI Healthcare Teams Cyberdiscussion: Feedback
NCI OFSM Customer Satisfaction Survey
New
1500
50
0
Form
1
Shuttle Survey
NCI OFSM Shuttle Special Service
New
1500
50
0
Form
1
Shuttle Special
NCI OSFM Conference Room Services Survey
New
284
9
0
Form
1
Conference survey
NCI OSFM Express Services Survey
New
432
14
0
Form
1
Express services survey
NCI OSFM Fitness Center Survey
New
536
18
0
Form
1
Fitness survey
NCI OSFM Relocation Survey - Lab
New
128
4
0
Form
1
Lab relocation survey
NCI OSFM Relocation Survey- Office
New
128
4
0
Form and Instruction
1
Data Collection Instrument
NCI OSFM Small Little Job (SLJ) Survey
New
256
9
0
Form
1
Small Little Job survey
NIH Events Management – Audio Visual Survey
New
60
5
0
Form and Instruction
1
EM Audio Visual Burden
NIH Events Management – Post Production Survey
New
60
5
0
Form and Instruction
1
Post Production Burden
NIH Events Management – Scheduling Services Survey
New
60
5
0
Form and Instruction
1
Scheduling Burden
NIH Events Management – Video Production Survey
New
60
5
0
Form and Instruction
1
Video Production Survey
Office of Space Facilities and Management (OFSM) Customer Satisfaction Survey/Focus Group Fitness Center (NCI)
New
1500
50
0
Form
1
6.1 Special Fitness Survey
Participant Feedback on 2018 NIH Common Fund Stimulating Peripheral Activity to Relieve Conditions (SPARC) Research Program Annual Awardee Meeting
New
115
10
0
Form and Instruction
1
SPARC Survey Money Screenshots 2018 SPARC Symp Survey
Pre-meeting Survey for the NCI Cohort Consortium
New
200
67
0
Form and Instruction
1
screenshots - Survey Cohort Consortium
Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract
New
3000
250
0
Form
1
Screenshot for Media Survey
Rockledge 1 and 2 Furniture Mockup Feedback
New
3000
250
0
Form and Instruction
1
Mockup Furniture Survey Card
Scientific Library Support Survey at the National Cancer Institute at Frederick (NCI)
New
3000
750
0
Form
1
NCIat Frederick-SciLibrary Survey 2018
Survey of Customer Satisfaction for DCCPS Fellows
New
50
4
0
Form
1
Survey
Voice of Customer (VoC) Surveys for CBITT's Website
New
500
42
0
Form
1
CBIIT Survey Screenshots
voice of Customer (VoC) surveys for NCI's cancer.gov
New
20000
1667
0
Form
1
Page Level Surey
Form
2
Exit Survey
Form
3
Clinical Trials Search Survey
Form
4
Content WRX Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR:
71368
6871
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
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