View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	NCI Cancer Research Data Commons (CRDC) Data Submission Forms	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	Survey	Attach 1 - Data Sub Form - Cancer Data Service (CDS) _v2_April2023.docx		Yes	Yes	Fillable Fileable
Instruction			Attach 2 - Instructions - Cancer Data Service.pdf		Yes	Yes	Fillable Fileable

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: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 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	60	0	60	0	0	0
Annual IC Time Burden (Hours)	60	0	60	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
MiniSSA	Mini SSA - CRDC (CDS-ICDC-PDC) REVISED 5.24.2023.docx	05/25/2023
Email communications	Attach 3 - Email - Cancer Data Service (CDS).docx	05/25/2023
Privacy Impact Assessment	Attach 4 - PIA-NIH-NCI CDS.pdf	05/25/2023
Privacy Act Memo	Attach 5 - Privacy Act Memo signed.pdf	05/25/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.