[NCCDPHP] Evaluation of a Prostate Cancer Decision Aid

OMB Control No: 0920-1438	ICR Reference No: 202505-0920-004
Status: Active	Previous ICR Reference No: 202407-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-25-0104
Title: [NCCDPHP] Evaluation of a Prostate Cancer Decision Aid
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/06/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/14/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2027	08/31/2027	08/31/2027
Responses	3,974	0	3,974
Time Burden (Hours)	1,129	0	1,129
Cost Burden (Dollars)	0	0	0

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Abstract: To conduct a randomized controlled trial (RCT) to determine if CDC’s online, simulated, human decision aid module, Talk to Nathan About Prostate Cancer Screening (treatment arm), is effective in improving knowledge, overcoming health literacy barriers, and resolving decisional conflict compared to a standard decision aid (control arm 1) and standard education materials (control arm 2). Also, to identify barriers and best practices for incorporating Talk to Nathan About Prostate Cancer Screening into the flow of primary care practice.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 5237	01/26/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 58740	07/19/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

IC Title Form No. Form Name Clinic Coordinator Interview 0920-24CB Clinic Coordinator Interviews_Interview Guide Patient Eligibility Screener 0920-24CB, 0920-24CB Patient Eligibility Screener_English ,   Patient Eligibility Screener_Spanish Post-clinic Survey 0920-24CB, 0920-24CB Post-Clinic Visit Survey_Online_English ,   Post-Clinic Visit Survey_Online_Spanish Post-exposure survey 0920-24CB, 0920-24CB Post Exposure Survey _English ,   Post Exposure Survey _Spanish Pre-exposure Survey 0920-24CB, 0920-24CB Pre-Exposure Survey_Online_English ,   Pre-Exposure Survey_Online_Spanish Provider Survey 0920-24CB Provider Survey Usability Survey 0920-24CB, 0920-24CB Usability Survey_Online_English ,   Usability Survey_Online_Spanish User Experience Interview 0920-24CB, 0920-24CB User Experience Interviews_Interview Guide_English ,   User Experience Interviews_Interview Guide_Spanish

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ICR Summary of Burden

	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	3,974	3,974	0	0	0	0
Annual Time Burden (Hours)	1,129	1,129	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection requesting three years of approval for 1,129 hours per year.

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Annual Cost to Federal Government: $16,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Odion Clunis 770 488-0045 [email protected]

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Common Form ICR:  No

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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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 05/14/2025

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