OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 200404-0917-001 · 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
6581 Hoz'ho'nii: An Intervention to Increase Breat and Cervical Cancer Screening Among Navajo Women Migrated
ICR Details
0917-0025 200404-0917-001
Historical Active 200203-0917-002
HHS/IHS
Hoz'ho'nii: An Intervention to Increase Breat and Cervical Cancer Screening Among Navajo Women
Reinstatement without change of a previously approved collection   No
Regular
Approved with change 05/28/2004
Retrieve Notice of Action (NOA) 04/15/2004
  Inventory as of this Action Requested Previously Approved
05/31/2007 05/31/2007
1 0 0
384 0 0
0 0 0
To evaluate a culturally appropriate educational outreach program designed to increase breast and cervical cancer screening amont Navajo women ages 20 and older. The purpose is to identify barriers that may prevent Navajo women from participating in breast and cervical cancer screening by comparing changes in knowledge, attitudes and behaviors of three study groups; educational outreach only, educational outreach plus chapter-based clinic, and a control group. Results will be used to assess 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 Breat 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.
04/15/2004