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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Customer Feedback of the National Cancer Institute's Mouse Models of Human Cancers Consortium (NCI-MMHCC) Program
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1
Interview Guide
Attachment1 - Interview Guide_1-14-2014.docx
No
Paper Only
Form
2
Consent Form
Attachment3 - Consent Form_1-14-2014.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
500
0
500
0
0
0
Annual IC Time Burden (Hours)
292
0
292
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Mini Supporting Statement A
Sub-Project_MiniSSA_MouseModels (2).docx
05/12/2014
Mini Supporting Statement B
Sub-Project_MiniSSB_MouseModels.docx
05/12/2014
Email Invitation for the Stakeholder Satisfaction with the National Cancer Institute’s Mouse Models of Human Cancers Consortium (NCI-MMHCC) Services and Products
Attachment2 - Invitation_1-14-2014.docx
05/12/2014
GENERIC SUB-STUDY SUBMISSION
Gen IC Form_MouseModels.doc
05/12/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.