OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Study of Comprehensive Cancer Control and Tobacco Control Program Partnerships

ICR 201108-0920-013 · OMB 0920-0918 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
QLCER_Partnership Study_SSB_053111.docx Supporting Statement B Uploaded 2011-08-25 Available
Appendix 09_Nondisclosure Agreement.doc Supplementary Document Uploaded 2011-08-26 Available
Appendix 11_References.docx Supplementary Document Uploaded 2011-08-25 Available
Appendix 10_Oral Consent Script.doc Supplementary Document Uploaded 2011-08-25 Available
Appendix 03_Overall Study Flowchart.docx Supplementary Document Uploaded 2011-08-25 Available
Appendix 02b Summary of Public Comments.doc Supplementary Document Uploaded 2011-08-25 Available
Appendix 01b_ARRA of 2009.pdf Supplementary Document Uploaded 2011-08-25 Available
Appendix 01a_Public Health Service Act.doc Supplementary Document Uploaded 2011-08-25 Available
Appendix 04_Introductory Email for Prep Call.doc Supplementary Document Uploaded 2011-08-25 Available
QLCER_Partnership Study_SSA_080711.docx Supporting Statement A Uploaded 2011-08-25 Available
IC Document Collections
IC IDCollectionTypeStatusForm
199090 Title Interviews with Tobacco Control Programs Other-CCC-TCP Partnership Study, TCP/QL Leadership/Program Staff New
199089 Interviews with State Health Departments Other-Interview Guide for Health Department Leadership New
199088 Site Visit Preparation for Cancer Control Programs and Tobacco Control Programs Other-Guidance New
199087 Interviews with Comprehensive Cancer Control Programs Other-CCC-TCP Partnerships Study, CCC Leadership/Program Staff I New
ICR Details
0920-0918 201108-0920-013
Historical Active
HHS/CDC
Study of Comprehensive Cancer Control and Tobacco Control Program Partnerships
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/19/2012
Retrieve Notice of Action (NOA) 08/31/2011
  Inventory as of this Action Requested Previously Approved
01/31/2013 12 Months From Approved
119 0 0
114 0 0
0 0 0
This qualitative project will allow CDC to obtain and disseminate information about the current level of communication and collaboration between Comprehensive Cancer Control programs and Tobacco Control Programs in seven selected states. Approval is requested for one year.
PL: Pub.L. 111 - 5 VIII Name of Law: American Recovery and Reinvestment Act of 2009
   US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  76 FR 33302 06/08/2011
76 FR 53136 08/25/2011
Yes
  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 119 0 0 119 0 0
Annual Time Burden (Hours) 114 0 0 114 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new, one-time information collection. It is one component of a larger Comparative Effectiveness Research (CER) study that also includes a promotion/cessation component.
$254,583
Yes Part B of Supporting Statement
Yes
No
No
Yes
Uncollected
Petunia Gissendaner 4046390164
  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.
08/31/2011