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Information Collection Request

Evaluation of Educational Materials Promoting Informed Decision Making About Prostate Cancer Screening - PHASE II: RCT

ICR 200603-0920-004 · OMB 0920-0651 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7120 Evaluation of Educational Materials Promoting Informed Decision Making About Prostate Cancer Screening - PHASE II: RCT Form Migrated
ICR Details
0920-0651 200603-0920-004
Historical Active 200405-0920-004
HHS/CDC
Evaluation of Educational Materials Promoting Informed Decision Making About Prostate Cancer Screening - PHASE II: RCT
Revision of a currently approved collection   No
Regular
Approved with change 07/06/2006
Retrieve Notice of Action (NOA) 03/29/2006
Approved consistent with change pages and CDC memo submitted to OMB 6/23/06.
  Inventory as of this Action Requested Previously Approved
07/31/2008 07/31/2008 11/30/2007
240 0 357
210 0 381
0 0 0
The purpose of this data collection is to test the effectiveness of a nationally available prostate cancer (CaP) screening decision aid developed by CDC as a tool for informed decision-making. Surveys will be used to evaluate the ability of the decision aid to impart knowledge, facilitate men's participation in discussions with their providers about CaP screening, and provide balanced information of the harms and benefits of screening. The data collected will be used to inform revisions of the aid, and the development of new materials.
None
None
No
1
IC Title Form No. Form Name
Evaluation of Educational Materials Promoting Informed Decision Making About Prostate Cancer Screening - PHASE II: RCT 35038-25
  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 240 357 0 -117 0 0
Annual Time Burden (Hours) 210 381 0 -171 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$0
Yes Part B of Supporting Statement
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.
03/29/2006