Attachment 1 - Survey of Alumni

Outcomes Evaluation of the National Cancer Institute (NCI) Cancer Prevention Fellowship Program (CPFP)

OMB: 0925-0690

IC ID: 209806

Information Collection (IC) Details

View Information Collection (IC)

Attachment 1 - Survey of Alumni
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 SURVEY OF ALUMNI Attach 1B.Survey of Alumni (Word Document).11-5-13.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD  67 FR 60743

160 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 160 0 160 0 0 0
Annual IC Time Burden (Hours) 67 0 67 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attach 1A Attach 1A.Survey of Alumni (Screenshots).11-5-13.docx 11/13/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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