Web-based Survey of NCCCP Coalition Members and NCCCP Partners

Assessment of Technical Assistance and Training Approaches to Accelerate Comprehensive Cancer Control Outcomes

OMB: 0920-1193

IC ID: 242185

Documents and Forms
Information Collection (IC) Details

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Web-based Survey of NCCCP Coalition Members and NCCCP Partners
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Web-based Survey (screenshots) Att 5e. Web-based survey (screenshots).docx Yes Yes Fillable Fileable
Other-Word version of survey content to facilitate content review Att 5d. Web-based survey (Word Format).docx No   Paper Only

Health Public Health Monitoring

 

88 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 88 0 0 88 0 0
Annual IC Time Burden (Hours) 22 0 0 22 0 0
Annual IC Cost Burden (Dollars) 1,306 0 0 1,306 0 0

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

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