View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	2023 Partnerships to Advance Cancer Health Equity (PACHE) Biennial Program Meeting Participant Feedback (NCI)	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	2023 PACHE Feedback Survey Screenshots_Afternoon.docx		Yes	Yes	Fillable Fileable
Form	1	Survey	2023 PACHE Feedback Survey Screenshots_Morning.docx		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: 120	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	120	0	120	0	0	0
Annual IC Time Burden (Hours)	5	0	5	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Template	2023 PACHE Generic Fast Track Sub-Study.docx	08/15/2023
Email Correspondence	2023 PACHE Email.docx	08/15/2023

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