OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Colorectal Cancer Control Program (CRCCP) Monitoring Activities

ICR 201705-0920-002 · OMB 0920-1074 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
CRCCP Clinic-level Information Collection Form Modified Available
CRCCP Annual Grantees Survey Form Modified Available
Att 5_CRCCP Data Collection Revision Matrix.docx Supplementary Document Uploaded 2017-05-01 Available
Att 6_60dy FRN Announcement.pdf Supplementary Document Uploaded 2017-05-01 Available
Att 2_CRCCP Logic Models.pdf Supplementary Document Uploaded 2017-05-01 Available
Attachment 1- Authorizing Legislation.pdf Supplementary Document Uploaded 2016-03-28 Available
SS Part B_CRCCP_2-22-17.docx Supporting Statement B Uploaded 2017-05-01 Available
SS Part A_CRCCP_2-22-17.docx Supporting Statement A Uploaded 2017-05-01 Available
IC Document Collections
IC IDCollectionTypeStatusForm
220791 CRCCP Clinic-level Information Collection Form Modified
217152 CRCCP Annual Grantees Survey Form Modified
ICR Details
0920-1074 201705-0920-002
Historical Active 201603-0920-012
HHS/CDC 0920-1074
Colorectal Cancer Control Program (CRCCP) Monitoring Activities
Revision of a currently approved collection   No
Regular
Approved without change 07/25/2017
Retrieve Notice of Action (NOA) 05/05/2017
  Inventory as of this Action Requested Previously Approved
07/31/2020 36 Months From Approved 06/30/2019
390 0 403
204 0 209
0 0 0
CDC requests approval the Colorectal Cancer Control Program (CRCCP). The goal of this information collection is to systematically collect information about the implementation and outcomes of the CRCCP. CDC will use resulting information to monitor the implementation of CRCCP activities and evaluate outcomes achieved across all grantees. CDC will conduct an annual grantee survey and collect clinic-level information from grantees' health system partners. CDC will use descriptive statistics to produce reports for CDC program management.
PL: Pub.L. 101 - 354 300k Name of Law: Breast and Cervical Cancer Mortality Prevention Act of 1990
  
None
Not associated with rulemaking
  81 FR 96457 12/30/2016
82 FR 19376 04/27/2017
No
2
IC Title Form No. Form Name
CRCCP Annual Grantees Survey none CRCCP Grantee Survey
CRCCP Clinic-level Information Collection none CRCCP Clinic-level Collection
  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 390 403 0 -13 0 0
Annual Time Burden (Hours) 204 209 0 -5 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
CDC proposes use of a revised survey instrument that eliminates data collection related to program implementation of EBIs and SAs as these are appropriately assessed at the clinic level. These changes reduce burden related to the survey among grantees from 24 to 12 hours. The revised clinic-level data collection instrument includes additional items related to implementation of the EBIs and SAs, as well as monitoring and evaluation, at the clinic level. These changes increase burden related to clinic-level data collection from 186 to 198 hours. The overall burden decreases from 201 to 204 burden hours.
$165,209
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.
05/05/2017