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NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)
Formative Research, Pretesting, and Customer Satisfaction of NCI's Communication and Education Resources (NCI)
OMB: 0925-0046
IC ID: 219767
OMB.report
HHS/NIH
OMB 0925-0046
ICR 201304-0925-003
IC 219767
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0046 can be found here:
2022-10-25 - Extension without change of a currently approved collection
2019-07-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)
Form and Instruction
1 Application Screenshot
Attachment 1 Application Screenshot.pdf
Form and Instruction
2 Recommendation Letter
Attachment 2 Reference Recommendation Letter Screenshot.pdf
Form and Instruction
3 Application Survey
Attachment 3 Applicant Survey.doc
Form and Instruction
4 Contributor Survey
Attachment 5 Contributor Survey.doc
Form and Instruction
SSA CCT 1 25 2016 (003).docx
Mini SSA
IC Document
Attachment 4 Email to Applicant.doc
Email to Applicant
IC Document
Attachment 6 Email to Contributor.doc
Email to Contributor
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT 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 and Instruction
1
Application Screenshot
Attachment 1 Application Screenshot.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
2
Recommendation Letter
Attachment 2 Reference Recommendation Letter Screenshot.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
3
Application Survey
Attachment 3 Applicant Survey.doc
Yes
Yes
Fillable Fileable
Form and Instruction
4
Contributor Survey
Attachment 5 Contributor Survey.doc
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:
300
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
300
0
300
0
0
0
Annual IC Time Burden (Hours)
251
0
251
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Mini SSA
SSA CCT 1 25 2016 (003).docx
01/26/2016
Email to Applicant
Attachment 4 Email to Applicant.doc
01/26/2016
Email to Contributor
Attachment 6 Email to Contributor.doc
01/26/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.