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 201902-0920-006 · OMB 0920-0571 · 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
ATT 9_Privacy Impact Assessment.pdf Supplementary Document Uploaded 2019-02-20 Available
ATT 4_NBCCEDP Evaluation Question Matrix.docx Supplementary Document Uploaded 2019-02-19 Available
ATT 3_NBCCEDP_ Logic Model.pdf Supplementary Document Uploaded 2019-02-19 Available
ATT 5_MDE Data Definitions.docx Supplementary Document Uploaded 2019-02-19 Available
ATT6_Proposed Changes to the Currently-Approved MDE Data Variables.docx Supplementary Document Uploaded 2019-02-19 Available
ATT 8_Institutional Review Board Approval.docx Supplementary Document Uploaded 2019-02-19 Available
ATT 7_60-Day Federal Register Announcement.pdf Supplementary Document Uploaded 2019-02-19 Available
0920-0571_SSB 15FEB2019.docx Supporting Statement B Uploaded 2019-02-19 Available
0920-0571_SSA 15FEB2019.docx Supporting Statement A Uploaded 2019-02-19 Available
Attachment 10 (Data surveillance reports).pdf Supplementary Document Uploaded 2012-08-08 Repair queued
Attachment 09 (Data Processing Flowchart).pdf Supplementary Document Uploaded 2012-08-08 Available
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 Repair queued
Attachment 04 (Outside Consults).pdf Supplementary Document Uploaded 2012-08-08 Available
Attachment 01a (PubLaw).pdf Supplementary Document Uploaded 2012-08-08 Repair queued
Attachment 01b (301PHSA).pdf Supplementary Document Uploaded 2012-08-08 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 201902-0920-006
Active 201508-0920-006
HHS/CDC 0920-0571
Minimum Data Elements for the National Breast and Cervical Cancer Early Detection Program
Revision of a currently approved collection   No
Regular
Approved without change 03/26/2019
Retrieve Notice of Action (NOA) 02/20/2019
OMB is approving this information collection request for a period of three years during which time CDC will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.
  Inventory as of this Action Requested Previously Approved
03/31/2022 36 Months From Approved 03/31/2019
140 0 134
350 0 536
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. CDC proposes a revision to the MDEs to include removal of several data variables that are no longer relevant for CDC analyses, as well as collapsing/revising several data variables to reduce burden and increase clarity for respondents. Together, the proposed revisions are expected to increase efficiency of MDE data reporting by limiting data variables to only those that are critical to adequately monitor program performance and evaluate processes and outcomes of interest. In addition, this revision will reduce burden by eliminating data variables no longer needed by CDC.
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
  83 FR 9320 03/05/2018
84 FR 2508 02/07/2019
No
  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 140 134 0 6 0 0
Annual Time Burden (Hours) 350 536 0 -186 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The Revision of 0920-0571 results in an increase in three Respondents, however due to a decrease in the time required to complete the MDE, the overall burden is decreased to 350 hours.
$531,164
Yes Part B of Supporting Statement
    No
    No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [email protected]
  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.
02/20/2019