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

View Information Collection (IC)

Requirements Gathering for Patient-Centered Communication (PCC) Web-based Application for NCI
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 5 Yes Yes Printable Only
Form and Instruction 3 Yes Yes Printable Only
Form and Instruction 4 Yes Yes Printable Only
Form and Instruction 1 Yes Yes Printable Only
Form and Instruction 2 Yes Yes Printable Only

Health Health Care Services

 

65 0
   
Individuals or Households
 
   0 %

  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 65 0 0 0 0 0
Annual IC Time Burden (Hours) 65 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
#1_Attach 3_Consent_Group_PCC_Require 06/22/2012
#1_Attach 5_MockUps_Website 06/22/2012
#1_Attach 4_Consent_Provider_PCC_Require 06/22/2012
#2 fast-track template Request_PCC_Usability 06/22/2012
#2_Attach_9_Consent Patient_PCC_Use 06/22/2012
#2_Attach_10_Consent_Support_PCC_Use 06/22/2012
_1 Fast-track _Request_PCC_Requirements[1] 06/22/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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