OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Minimum Data Elements for the National Breast and Cervical Cancer Early Detection Program

ICR 201209-0920-001 · OMB 0920-0571 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Early Detection Program Form and Instruction Modified Available
0920-0571 SS Part B_8 13 2012.doc Supporting Statement B Uploaded 2012-08-21 Available
Attachment 02b (Summary of Public Comments).doc Supplementary Document Uploaded 2012-08-21 Repair queued
Attachment 02a (Federal Register Notice).pdf Supplementary Document Uploaded 2012-08-21 Available
Attachment 10 (Data surveillance reports).pdf Supplementary Document Uploaded 2012-08-08 Available
Attachment 09 (Data Processing Flowchart).pdf Supplementary Document Uploaded 2012-08-08 Repair queued
Attachment 08 (Estimated data reporting).pdf Supplementary Document Uploaded 2012-08-08 Repair queued
Attachment 07 (Grantees map).pdf Supplementary Document Uploaded 2012-08-08 Available
Attachment 06 (Datasharing).pdf Supplementary Document Uploaded 2012-08-08 Available
Attachment 05 (CDC IRB approval notification).pdf Supplementary Document Uploaded 2012-08-08 Available
Attachment 04 (Outside Consults).pdf Supplementary Document Uploaded 2012-08-08 Available
Attachment 01a (PubLaw).pdf Supplementary Document Uploaded 2012-08-08 Available
Attachment 01b (301PHSA).pdf Supplementary Document Uploaded 2012-08-08 Available
0920-0571 SS Part A_8 13 2012.doc Supporting Statement A Uploaded 2012-08-21 Available
IC Document Collections
IC IDCollectionTypeStatusForm
7025 Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Early Detection Program Form and Instruction Modified
ICR Details
0920-0571 201209-0920-001
Historical Active 200910-0920-002
HHS/CDC
Minimum Data Elements for the National Breast and Cervical Cancer Early Detection Program
Extension without change of a currently approved collection   No
Regular
Approved without change 10/05/2012
Retrieve Notice of Action (NOA) 09/04/2012
  Inventory as of this Action Requested Previously Approved
10/31/2015 36 Months From Approved 11/30/2012
134 0 136
536 0 544
0 0 0
The CDC-funded National Breast and Cervical Cancer Early Detection Program (NBCCEDP) is the largest organized cancer screening program in the United States, providing critical breast and cervical cancer screening services to underserved women. CDC proposes to continue the collection of performance indicator information from NBCCEDP grantees. The information supports program planning, evaluation, and research.
PL: Pub.L. 101 - 354 300k Name of Law: The Breast and Cervical Cancer Mortality Prevention Act of 1990
   US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  77 FR 33467 06/06/2012
77 FR 51807 08/27/2012
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 134 136 0 -2 0 0
Annual Time Burden (Hours) 536 544 0 -8 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
This is an extension request with slightly reduced burden due to loss of one grantee; however, there is no change to the average burden per response.
$992,516
Yes Part B of Supporting Statement
No
No
No
No
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.
09/04/2012