3rd Symposium on Cancer Health Disparities Supported by CCR Cancer Health Disparities Interest Group (NCI)

Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Document Name Document Type
Form 1 3rd Symposium on Cancer Health Disparities Supported by CCR Cancer Health Disparities Interest Group (NCI) Form and Instruction
1 Registration Page Registration Page - Cancer Health Disparities (2).docx Form and Instruction
2 Abstract Page Abstract Page - Cancer Health Disparities.docx Form and Instruction
Request - Cancer Health Disparities (1).docx Request for 3rd Symposium on Cancer Health Disparities IC Document
Email Invite - Cancer Health Disparities.docx email invite IC Document

Information Collection (IC) Details

IC Title:	3rd Symposium on Cancer Health Disparities Supported by CCR Cancer Health Disparities Interest Group (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	Registration Page	Registration Page - Cancer Health Disparities (2).docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	Abstract Page	Abstract Page - Cancer Health Disparities.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 270	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	270	270
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for 3rd Symposium on Cancer Health Disparities	Request - Cancer Health Disparities (1).docx	11/13/2019
email invite	Email Invite - Cancer Health Disparities.docx	11/13/2019

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