Survey of Colorectal Cancer Screening Practices in Health Care Organizations

ICR 199906-0925-002

OMB: 0925-0468

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0925-0468 199906-0925-002
Historical Active
HHS/NIH
Survey of Colorectal Cancer Screening Practices in Health Care Organizations
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/17/1999
Retrieve Notice of Action (NOA) 06/09/1999
NIH has agreed to provide OMB with the response rate results of the incentive and fulfillment tests, with the fulfillment test assessing response rates in each mode. NIH will also add a component to the fulfillment test that assesses data quality across survey modes (e.g. physicians respond similarly by website as over the phone). Last, NIH will revise the survey per their 8/17 response.
  Inventory as of this Action Requested Previously Approved
08/31/2002 08/31/2002
1 0 0
918 0 0
0 0 0

The Physician Survey on Colorectal Cancer Screening in Health Care Organizations will benefit NCI programs for the detection, diagnosis, prevention, and treatment of colorectal cancer and improve methods of patient referral for early diagnosis and treatment of colorectal cancer.

None
None


No

1
IC Title Form No. Form Name
Survey of Colorectal Cancer Screening Practices in Health Care Organizations

  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 1 0 0 1 0 0
Annual Time Burden (Hours) 918 0 0 918 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
06/09/1999


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