OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Development of an Evaluation Plan to Evaluate Grantee Attainment of Selected Activities of Comprehensive Cancer Priorities

ICR 201303-0920-015 · OMB 0920-0971 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
National Comprehensive Cancer Control Program Focus Groups Form and Instruction New Available
National Comprehensive Cancer Control Program Survey Form and Instruction New Available
Supporting Statement_Part B_02062013.doc Supporting Statement B Uploaded 2013-03-21 Available
Att 2B_Response to Public Comments.docx Supplementary Document Uploaded 2013-03-21 Repair queued
Att 1B_Public Health Service Act.doc Supplementary Document Uploaded 2013-03-21 Available
Att 1A_Authorization for Program.docx Supplementary Document Uploaded 2013-03-21 Available
Att 11_Focus Group Questions and Answer_011413_Revised.doc Supplementary Document Uploaded 2013-03-21 Available
Att 10_Focus Group confirmation email_011413_Revised.doc Supplementary Document Uploaded 2013-03-21 Available
Att 9_Focus Group invitation email_011413_Revised.doc Supplementary Document Uploaded 2013-03-21 Available
Att 7_Survey Thank you email_011413_Revised.doc Supplementary Document Uploaded 2013-03-21 Available
Att 6_Survey reminder email_011413_Revised.doc Supplementary Document Uploaded 2013-03-21 Repair queued
Att 5_Survey invitation email_011413_Revision.doc Supplementary Document Uploaded 2013-03-21 Available
Att 4_Survey intro email_011413_Revised.doc Supplementary Document Uploaded 2013-03-21 Repair queued
Supporting Statement_Part A_03072013.doc Supporting Statement A Uploaded 2013-03-21 Available
IC Document Collections
IC IDCollectionTypeStatusForm
206292 National Comprehensive Cancer Control Program Focus Groups Form and Instruction New
206291 National Comprehensive Cancer Control Program Survey Form and Instruction New
ICR Details
0920-0971 201303-0920-015
Historical Active
HHS/CDC 19174
Development of an Evaluation Plan to Evaluate Grantee Attainment of Selected Activities of Comprehensive Cancer Priorities
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/22/2013
Retrieve Notice of Action (NOA) 03/29/2013
  Inventory as of this Action Requested Previously Approved
05/31/2015 24 Months From Approved
89 0 0
65 0 0
0 0 0
CDC plans to conduct an online survey and in-person focus groups to assess the extent to which grantees are implementing NCCCP priorities and the extent to which selected CDC capacity-building tools support implementation of these priorities.
US Code: 42 USC 301 Name of Law: Public Health Service Act - Research and Investigations
   US Code: 42 USC 247b Name of Law: Public Health Service Act - Project grants for preventive health services
  
None
Not associated with rulemaking
  77 FR 47394 08/08/2012
78 FR 17407 03/21/2013
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 89 0 0 89 0 0
Annual Time Burden (Hours) 65 0 0 65 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection request.
$249,000
Yes Part B of Supporting Statement
Yes
No
No
No
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.
03/29/2013