View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Abstract submissions for the NCI Consortium for Cancer Implementation Science (CCIS) Annual Meeting taking place in-person from February 26 – 28, 2025	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	Abstract	CCIS_AbstractSubmission Form_OMB Final.pdf		Yes	Yes	Fillable Fileable
Instruction			CCIS_AbstractSubmission_Instructions_REVISED.docx		Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service	FR Citation: 83 FR 6591

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)	20	0	20	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Recruitment Materials	CCIS_Abstract Submission_Promo.docx	05/27/2024
Template	Sub-Study-CCIS_2024 Abstract Collection REVISED.docx	05/29/2024

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