OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Use of Evidence Based Practices for Comprehensive Cancer Control

ICR 201111-0920-002 · OMB 0920-0921 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Program Partners Form and Instruction New Repair queued
Program Directors Form and Instruction New Available
0920-11KA_SS-Part B_1 18 2012.docx Supporting Statement B Uploaded 2012-01-18 Available
Attachment B2. Summary of Public Comments.doc Supplementary Document Uploaded 2011-10-31 Available
Attachment B1. Federal Register Notice.pdf Supplementary Document Uploaded 2011-10-31 Available
Attachment A. Authorizing Legislation.docx Supplementary Document Uploaded 2011-10-31 Repair queued
Attachment D5. Program Partners Thank You Email.docx Supplementary Document Uploaded 2011-10-31 Available
Attachment D4. Program Partners Postcard.docx Supplementary Document Uploaded 2011-10-31 Available
Attachment D3. Program Partners Follow Up Email.docx Supplementary Document Uploaded 2011-10-31 Repair queued
Attachment D2. Program Partners Invitation Email.docx Supplementary Document Uploaded 2011-10-31 Available
Attachment C5. Program Director Follow Up Emails.docx Supplementary Document Uploaded 2011-10-31 Available
Attachment C3. Program Directors Advance Letter.docx Supplementary Document Uploaded 2011-10-31 Available
0920-11KA_SS-Part A_10 26 2011.docx Supporting Statement A Uploaded 2011-10-31 Available
IC Document Collections
IC IDCollectionTypeStatusForm
200084 Program Partners Form and Instruction New
200083 Program Directors Form and Instruction New
ICR Details
0920-0921 201111-0920-002
Historical Active
HHS/CDC
Use of Evidence Based Practices for Comprehensive Cancer Control
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 02/06/2012
Retrieve Notice of Action (NOA) 11/08/2011
  Inventory as of this Action Requested Previously Approved
02/28/2013 12 Months From Approved
198 0 0
138 0 0
0 0 0
CDC plans to conduct a study examining the dissemination, adoption, and implementation of evidence-based practices (EBPs) in comprehensive cancer control programs. The study will describe challenges to, and unintended consequences of, implementing EBPs.
US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  76 FR 52329 08/22/2011
76 FR 68465 11/04/2011
Yes
2
IC Title Form No. Form Name
Program Directors none, none, none Phone Interview ,   Scheduling Script ,   Web Survey Instrument
Program Partners none Web Survey
  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 198 0 0 198 0 0
Annual Time Burden (Hours) 138 0 0 138 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.
$285,108
Yes Part B of Supporting Statement
Yes
No
No
No
Uncollected
Daniel Holcomb 770 488-4472 [email protected]
  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.
11/08/2011