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
Unchanged
225
38
0
Form
1
SurveyMonkey for NCORP
2018 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Post-Conference Feedback Survey
Unchanged
1100
92
0
Form
1
2018 BRAIN PI meeting
2018 NCORP Annual Meeting Assessment and Feedback (NCI)
Unchanged
225
38
0
Form
1
2018 NCORP Annual Meeting Planning Survey
2018 NCORP Annual Meeting Pre- Meeting Evaluation and Feedback
Unchanged
250
21
0
Form and Instruction
1
2018 NCORP Annual Meeting Planning Survey
2019 NCI Director's Awards Ceremony Survey
New
300
25
0
Form and Instruction
1
NCI Awards Survey
2019 NCORP Annual Meeting Pre-Meeting Assessment and Feedback (NCI)
New
225
38
0
Form and Instruction
1
2019 NCORP Annual Meeting Assessment
2020 DCEG, NCI Committee of Scientists Survey
New
180
18
0
Form and Instruction
1
2020 DCEG COS Survey
2020 Trans-NCI-NIH Conference: International Perspectives on Integrative Medicine for Cancer Prevention and Cancer Patient Management Survey (NCI)
New
400
53
0
Form and Instruction
1
2020 Trans-NCI-NIH Conference Survey
2nd RAS Initiative Symposium Feedback Survey
Unchanged
350
18
0
Form
1
2nd RAS survey questions
ASA24 Customer Satisfaction Survey (NCI)
Unchanged
1485
248
0
Form
1
ASA24 User Survey
Assessment of 2018 HINTS Data Users Conference (NCI)
Unchanged
150
13
0
Form
1
HINTS survey
CBIIT Service Now Customer Satisfaction Survey (NCI)
Unchanged
9250
463
0
Form
1
Service Now Survey
CTSU Multi-Group Audit (MGA) Feedback Surveys
Unchanged
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)
Unchanged
35
6
0
Form
1
FRM Fellow Survey Form
Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual Survey (NCI)
Unchanged
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 Feedback Survey (NCI)
New
15
5
0
Form
1
Speaking About Science Workshop Participant Feedback Survey
Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI)
Unchanged
100
33
0
Form
1
Speaking About Science Workshop
Cancer Prevention Fellowship Program (CPFP) Summer Training Strategy Focus Groups (NCI)
New
18
27
0
Form and Instruction
1
ModeratorGuide Summer Training Strategies Focus Group
Child Care Needs Survey (NCI)
Unchanged
6200
1200
0
Form
1
Childcare study survey
Form and Instruction
2
listening session guiding questions
Customer Satisfaction Survey for CBIIT Events
Unchanged
400
20
0
Form
1
CBIIT Event Survey
Customer Satisfaction Survey for CBIIT's Newsletter and Intranet
Unchanged
330
55
0
Form
1
Survey
Customer Satisfaction Surveys for CBIIT Solutions Website
Unchanged
5000
417
0
Form
1
CBIIT Soultions Survey
DCCPS Biorepository Information Gathering Survey (NCI)
New
340
51
0
Form and Instruction
1
Biorespository survey
Division of Cancer Control and Population Sciences (DCCPS) Webinar Survey (NCI)
New
200
17
0
Form and Instruction
1
DCCPS Webinar Survey
Division of Cancer Control and Population Sciences Funding Announcement Webinar (NCI)
New
350
29
0
Form and Instruction
1
FOA Webinar survey
EXPOSE Alumni Survey Fast track (NCI)
Unchanged
20
2
0
Form
1
EXPOSE Alumni Survey
Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Poll (NCI)
Unchanged
150
13
0
Form
1
EGRP SeqSPACE Webinar Survey
Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey
Unchanged
152
13
0
Form
1
SeqSPACE survey question screenshots
Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research
Unchanged
200
17
0
Form
1
Screenshot from survey to inform Workshop discussion
Grants and Grantsmanship Workshop Survey
Unchanged
100
33
0
Form
1
CPFP Grants Workshop Evaluation
Hallway Interviews about myNCI with NCI staff (NCI)
Unchanged
100
8
0
Form and Instruction
1
myNCI Hallway Interview Guide
Healthcare Delivery Research Program Communications Evaluation Survey
Unchanged
500
25
0
Form
1
HDRP Survey
Healthcare Teams Cyber Discussion Feedback Survey (NCI)
Unchanged
100
8
0
Form and Instruction
1
Healthcare Teams CD Survey
Implementation Science (IS) at a Glance (NCI)
Unchanged
80
20
0
Form
1
IS Survey Screenshots
Implementation Science Webinar Survey (NCI)
New
400
33
0
Form and Instruction
1
Implementation Science Webinar survey
Information Gathering for Employee Wellness Program Needs (NCI)
Unchanged
3000
100
0
Form
1
Wellness Survey Questionns
July 2018 Cancer and Accelerated Aging Think Tank Survey
New
80
13
0
Form
1
Aging Survey
NCEF Survey for Program Operations
Unchanged
120
6
0
Form
1
Customer Survey
NCI CPFP Daily Summer Curriculum Survey
Unchanged
1875
156
0
Form
1
CPFP NCI Summer Curriculum Daily Survey
NCI CPFP End of Course Summer Curriculum Survey
Unchanged
150
13
0
Form
1
End of Course Summer Curriculum Survey
NCI CPFP Follow-Up Summer Curriculum Survey
Unchanged
150
13
0
Form
1
Summer Curriculum Program Follow-Up Survey
NCI CPFP Summer Curriculum Focus Group Survey
Unchanged
72
1
0
Form
1
Focus Group Question
NCI Digital Communications University (DCU) Survey
Unchanged
400
33
0
Form
1
DCU Survey Screenshots
NCI Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey
Unchanged
40
7
0
Form and Instruction
1
EXPOSE PRE-SURVEY
Form and Instruction
1
EXPOSE POST SURVEY
NCI Healthcare Teams Cyber Discussion Feedback Survey
Unchanged
90
8
0
Form
1
Post-Event Survey: NCI Healthcare Teams Cyberdiscussion: Feedback
NCI OFSM Customer Satisfaction Survey
Unchanged
1500
50
0
Form
1
Shuttle Survey
NCI OFSM Shuttle Special Service
Unchanged
1500
50
0
Form
1
Shuttle Special
NCI OSFM Conference Room Services Survey
Unchanged
284
9
0
Form
1
Conference survey
NCI OSFM Express Services Survey
Unchanged
432
14
0
Form
1
Express services survey
NCI OSFM Fitness Center Survey
Unchanged
536
18
0
Form
1
Fitness survey
NCI OSFM Relocation Survey - Lab
Unchanged
128
4
0
Form
1
Lab relocation survey
NCI OSFM Relocation Survey- Office
Unchanged
128
4
0
Form and Instruction
1
Data Collection Instrument
NCI OSFM Small Little Job (SLJ) Survey
Unchanged
256
9
0
Form
1
Small Little Job survey
NIH Events Management – Audio Visual Survey
Unchanged
60
5
0
Form and Instruction
1
EM Audio Visual Burden
NIH Events Management – Post Production Survey
Unchanged
60
5
0
Form and Instruction
1
Post Production Burden
NIH Events Management – Scheduling Services Survey
Unchanged
60
5
0
Form and Instruction
1
Scheduling Burden
NIH Events Management – Video Production Survey
Unchanged
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)
Unchanged
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
Unchanged
115
10
0
Form and Instruction
1
SPARC Survey Money Screenshots 2018 SPARC Symp Survey
Participant and Mentor Focus Groups for the Intramural Continuing Umbrella of Research Experiences (iCURE) (NCI)
New
15
23
0
Form and Instruction
1
iCURE Focus group
Participant and Mentor Surveys for the Intramural Continuing Umbrella of Research Experiences (iCURE) Program (NCI)
New
45
23
0
Form
1
iCURE Mentors survey
Form
2
iCURE Scholars survey
Pre-meeting Survey for the NCI Cohort Consortium
Unchanged
200
67
0
Form and Instruction
1
screenshots - Survey Cohort Consortium
Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract
Unchanged
3000
250
0
Form
1
Screenshot for Media Survey
Research Tested Intervention Programs (RTIPs) Website Usability Testing (NCI)
New
20
20
0
Form and Instruction
1
RTIPs Usability Interview Guide
Form and Instruction
2
RTIPs Wireframes - Webpage
Rockledge 1 and 2 Furniture Mockup Feedback
Unchanged
3000
250
0
Form and Instruction
1
Mockup Furniture Survey Card
Scientific Library Support Survey at the National Cancer Institute at Frederick (NCI)
Unchanged
3000
750
0
Form
1
NCIat Frederick-SciLibrary Survey 2018
Summarizing ExperieNces with Site Enrollment in NCORP Cancer Care Delivery Research Studies (SENSE) (NCI)
New
35
35
0
Form and Instruction
1
Interview Guide
Survey of Customer Satisfaction for DCCPS Fellows
Unchanged
50
4
0
Form
1
Survey
Telecommunication Customer Satisfaction Survey
New
9000
450
0
Form
1
Telecommunication survey
Voice of Customer (VoC) Surveys for CBITT's Website
Unchanged
500
42
0
Form
1
CBIIT Survey Screenshots
voice of Customer (VoC) surveys for NCI's cancer.gov
Unchanged
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:
82991
7731
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
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