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Federal forms, ICRs, and supporting documents

Information Collection Request

Hoz'ho'nii: An Intervention to Increase Breast and Cervical Cancer Screening Among Navajo Women

ICR 200203-0917-002 · OMB 0917-0025 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6580 Hoz'ho'nii: An Intervention to Increase Breast and Cervical Cancer Screening Among Navajo Women Migrated
ICR Details
0917-0025 200203-0917-002
Historical Active
HHS/IHS
Hoz'ho'nii: An Intervention to Increase Breast and Cervical Cancer Screening Among Navajo Women
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/21/2002
Retrieve Notice of Action (NOA) 03/22/2002
Approved for use through 11/2003 under the condition that prior to fielding this instrument IHS submits to OMB plans: 1) for validating cancer screening utilizaton, e.g. with a look behind sample of medical records; and 2) evaluating item and general nonresponse bias.
  Inventory as of this Action Requested Previously Approved
11/30/2003 11/30/2003
1 0 0
384 0 0
0 0 0
The information is needed to evaluate a culturally appropriate educational outreach program designed to increase breast and cervical cancer screening among Navajo women 20 and older. The purpose is to identify barriers that may prevent Navajo women from participating in breat and cervical cancer screening by comparing changes inknowledge, atitudes, and behaviors of three study groups; educational outreach only, education outreach plus chapter-based clinic, and a control group. Results will be used to assess the impact of the impact of the educational outreach program, improve breast and cervical cancer screening...
None
None
No
1
IC Title Form No. Form Name
Hoz'ho'nii: An Intervention to Increase Breast and Cervical Cancer Screening Among Navajo Women
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1 0 0 1 0 0
Annual Time Burden (Hours) 384 0 0 384 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/22/2002