OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Survey of Primary Care Physicians' Practices Regarding Prostate Cancer Screening

ICR 200803-0920-005 · OMB 0920-0746 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Screening for Survey of Primary Care Physicians Practices Regarding Prostate Cancer Screening Form and Instruction Modified Available
Survey of Primary Care Physicians Practices Regarding Prostate Cancer Screening Form and Instruction Modified Repair queued
83-C Supplement 03 13 08.doc Justification for No Material/Nonsubstantive Change Uploaded 2008-03-17 Available
Attachment 6. Signature Postcard.doc Supplementary Document Uploaded 2007-04-09 Available
Attachment 5. Survey Cover Letters.doc Supplementary Document Uploaded 2007-04-09 Available
IC Document Collections
IC IDCollectionTypeStatusForm
179789 Screening for Survey of Primary Care Physicians Practices Regarding Prostate Cancer Screening Form and Instruction Modified
179788 Survey of Primary Care Physicians Practices Regarding Prostate Cancer Screening Form and Instruction Modified
ICR Details
0920-0746 200803-0920-005
Historical Active 200704-0920-002
HHS/CDC
Survey of Primary Care Physicians' Practices Regarding Prostate Cancer Screening
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/21/2008
Retrieve Notice of Action (NOA) 03/27/2008
  Inventory as of this Action Requested Previously Approved
07/31/2009 07/31/2009 07/31/2009
2,390 0 2,390
1,033 0 1,033
0 0 0
The Centers for Disease Control and Prevention (CDC) requests approval for minor changes to this one-time collection of information to assess primary care physicians' attitudes and practices regarding prostate cancer screening.
US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  71 FR 54659 09/18/2006
72 FR 17917 04/10/2007
No
  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 2,390 2,390 0 0 0 0
Annual Time Burden (Hours) 1,033 1,033 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$324,957
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Carol Walker 4046394773
  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.
03/26/2008