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

View Information Collection (IC)

Pilot Study for The Center for Cancer Research (CCR) Faculty Recruitment Application Website (NCI)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Application form Attachment 1 - Application Form (1).docx Yes Yes Fillable Fileable
Form 2 Feedback survey Attachment 2 - Survey.docx Yes Yes Fillable Fileable
Form and Instruction 3 reference request Attachment 3 - Reference Request.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,075 0
   
Individuals or Households
 
   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 2,075 0 2,075 0 0 0
Annual IC Time Burden (Hours) 256 0 256 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Mini SSA Mini SSA CCR Application Database - 6.13.19.docx 06/13/2019
Auto-Generated Email Responses (three samples) Attachment 4 - Auto-Generated Email Responses (3 samples).docx 06/13/2019
Auto-Generated Email Request for Reference Letter Attachment 5 - Auto-Generated Email Request - Reference Letter (1).docx 06/13/2019
PIA Attachment 6 - PrivacyImpactAssessmentForm_FINAL_050819.pdf 06/13/2019
PIA Attachment 6 - PrivacyImpactAssessmentForm_FINAL_050819.docx 06/24/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.