OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Annual Survey of Colorectal Cancer Control Activities Conducted by States and Tribal Organizations

ICR 201503-0920-001 · OMB 0920-1074 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Attachment E_Introductory Email.docx Supplementary Document Uploaded 2015-03-03 Repair queued
Attachment C_60 Day Federal Register Announcement.pdf Supplementary Document Uploaded 2015-03-03 Available
Attachment B_Authorizing Legislation.docx Supplementary Document Uploaded 2015-03-03 Available
Attachment A-2_Simplified CRCCP Logic Model.pdf Supplementary Document Uploaded 2015-03-03 Available
Attachment A-1_CRCCP Framework.pdf Supplementary Document Uploaded 2015-03-03 Available
SS Part A_CRCCP_02272015.docx Supporting Statement A Uploaded 2015-03-03 Available
SS Part B_CRCCP_02062015.docx Supporting Statement B Uploaded 2015-03-03 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
217152 Att D1_CRCCP Grantees Sruvey (Screenshots/Layout Preview) Other-null New
ICR Details
0920-1074 201503-0920-001
Historical Active
HHS/CDC 14LA
Annual Survey of Colorectal Cancer Control Activities Conducted by States and Tribal Organizations
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 06/26/2015
Retrieve Notice of Action (NOA) 03/13/2015
  Inventory as of this Action Requested Previously Approved
06/30/2018 36 Months From Approved
29 0 0
36 0 0
0 0 0
The goal of this annual survey is to systematically collect information about the implementation of program activities from each of the 29 CRCCP awardees. We will be using descriptive statistics to produce grantee reports for use by CDC for program management and technical assistance planning, as well as for the grantees' own program improvement.
PL: Pub.L. 106 - 310 301[241](a) Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  79 FR 13054 03/07/2014
80 FR 12178 03/06/2015
No
1
IC Title Form No. Form Name
Att D1_CRCCP Grantees Sruvey (Screenshots/Layout Preview)
  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 29 0 0 29 0 0
Annual Time Burden (Hours) 36 0 0 36 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection request for a new OMB Control Number.
$217,196
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Thelma Sims 4046394771
  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.
03/13/2015