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

View Information Collection (IC)

genIC Cancer Survivorship Needs Assessment for NCCCProgram Grantees 16BAE
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Yes Yes Paper Only
Other-Web Version Yes Yes Fillable Printable
Other-WORD No   Paper Only
Other-WORD No   Paper Only
Other-WORD No   Printable Only

Health Health Care Services

 

65 0
   
State, Local, and Tribal Governments
 
   100 %

  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 65 0 0 0
Annual IC Time Burden (Hours) 87 0 87 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SupSta A 08/15/2016
SupSta B 08/15/2016
Att F_Advanced Email to NCCP Program Directors 08/15/2016
Att G_NCCP Grantee Invitation Email 08/15/2016
Att H_Reminder Email _ NCCCP Grantee 08/15/2016
Att I_Reminder Phone Script 08/15/2016
Att J_Telphone Focus Group Recruitment Email 08/15/2016
Att K_ Telephone Focus Group Confirmation Email 08/15/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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