The current approved data collection instrument contains 68 questions, and this request if approve will decrease the number to 62 questions. Some questions have been deleted and others replaced with new questions. There is no change in the annual reporting or recordkeeping cost burden. The question covered by this change request for the new data collection instrument are: Questions 1-2, 48; REVISED to allow ability to provide more detailed response as requested by respondents. Questions 3-4, 26, 45 ; PREVIOUS question from past instrument. Questions 5, 8-15, 17, 27, 31-32, 42-44, 46-47, 50, 60-62; NEW. Questions 16, 30; REVISED for clarification and reduction of information to be recorded. Text boxes provided to allow comments regarding each section of the instrument. Current Instrument: Questions 1-2, 15, 23, 27-28b, 54-55; UPDATED. Questions 5-10, 13, 16, 18-20, 28c, 30-32, 34-40, 47-54; DELETED.
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.
0920-0706 change request memo.doc
National Program of Cancer Registries - Annual Program Evaluation Instrument (NPCR-APEI)