View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Bundled Sub-study #11, 12 and #13 (#11 Mentorship Program; #12 Medical Oncologist Practice of Care; #13 Nightshift Work and Sleep in China)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Yes Yes Fillable Fileable
Form 2 Yes Yes Fillable Fileable
Form and Instruction 3 No No Paper Only

Health Consumer Health and Safety

SORN #09-25-0156, "Records of Participants in Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD"  67 FR 60743

456 0
   
Individuals or Households
 
   34 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 456 0 0 0 0 0
Annual IC Time Burden (Hours) 118 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Bundle Gen IC Form_11-12-13-R2R_MISC_Nightshift 03/25/2011
#11_OMB_Justif Memo_R2R_FINAL (2) 03/25/2011
#12_Justi Memo_MIBC-3-25-11_Rev 03/25/2011
#13_Justif Memo_NightShift 03/25/2011
Memo to OMB_Key To Bundle #11, 12 & 13 03/25/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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