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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 System Usability Scale #2_Attach_8_SUScale.docx Yes Yes Printable Only
Form and Instruction 3 Patient Protocol _2_Attach_6_PatienProtocol_PCCUsability.doc Yes Yes Printable Only
Form and Instruction 4 Support Person Protocol _2_Attach_7_SupportProtocol_PCCUsability.doc Yes Yes Printable Only
Form and Instruction 1 Group Interviews Moderator's Guide _1_Attach_1_Group_Inter_Guides_PCC_Require[1].docx Yes Yes Printable Only
Form and Instruction 2 Individual Interviews Moderator's Guide _1_Attach_2_Provid_Inter_Guide_PCC_Require.docx 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 #1_Attach 3_Consent_Group_PCC_Require.docx 06/22/2012
#1_Attach 5_MockUps_Website #1_Attach 5_MockUps_Website.docx 06/22/2012
#1_Attach 4_Consent_Provider_PCC_Require #1_Attach 4_Consent_Provider_PCC_Require.docx 06/22/2012
#2 fast-track template Request_PCC_Usability #2 fast-track template Request_PCC_Usability.doc 06/22/2012
#2_Attach_9_Consent Patient_PCC_Use #2_Attach_9_Consent Patient_PCC_Use.docx 06/22/2012
#2_Attach_10_Consent_Support_PCC_Use #2_Attach_10_Consent_Support_PCC_Use.docx 06/22/2012
_1 Fast-track _Request_PCC_Requirements[1] _1 Fast-track _Request_PCC_Requirements[1].doc 06/22/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.