Approved consistent with the understanding that due to the sampling methodology employed in this collection, results will not be generalizable to the national population of breast cancer survivors. Incentives will only be provided to respondents contingent upon return of a completed survey.
Inventory as of this Action
Requested
Previously Approved
07/31/2017
12 Months From Approved
3,225
0
0
1,241
0
0
0
0
0
This study will examine insurance coverage, employment status and out-of-pocket health care expenses among young women diagnosed with breast cancer. Findings may be sued to inform the delivery of breast cancer treatment and reduce barriers to care and services for young, female breast cancer patients. Respondents will be adult women diagnosed with ductal carcinoma in situ or invasive breast cancer.
US Code:
42 USC 241
Name of Law: Public Health Service Act
US Code:
42 USC 10413
Name of Law: Education and Awareness Requires Learning Young Act of 2009
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.
Breast Cancer in Young Women screener and survey - survivors from advocacy groups
Attachment 7s - Reminder Letter Spanish_20160628.docx
Attachment 11 - Letter of Support, NCI.pdf
Attachment 8s - Recruitment Flier Spanish.doc
Breast Cancer in Young Women screener and survey - survivors from advocacy groups