ATTACHMENT 2
LISTING OF DATA COLLECTION INSTRUMENTS
USED DURING CLEARANCE PERIOD
November 1, 2003 Through October 31, 2006
OMB #0925-0046
Date |
I.D. No. |
Instrument Description |
Type of Respondent |
N |
Burden per Respondent |
Total Burden |
|
9/7/04 |
1a |
Online Survey to Help Inform Changes to the NCI Cancer Bulletin |
NCI staff, non-NCI health professionals, public |
1500 |
10 mins |
250 hrs |
|
9/7/04 |
1b |
Follow-Up Telephone Interview to Help Inform Changes to the NCI Cancer Bulletin |
NCI staff, non-NCI health professionals, public |
26 |
60 mins |
26 hrs |
|
8/2/04 |
2 |
Formative Research to Guide Development of the Cancer Biomedical Informatics Grid (caBIG) |
Researchers |
75
|
20 mins
|
25 hrs
|
|
9/30/04 |
3 |
Formative Research to Inform the Office of Cancer Complementary and Alternative Medicine’s (OCCAM) Program Development for CAM Researchers |
Cancer researchers with CAM expertise |
300 |
30 mins |
150 hrs |
|
9/30/04 |
4 |
Formative Research to Inform the Office of Cancer Complementary and Alternative Medicine’s (OCCAM) Program Development for CAM Practitioners |
Practitioners with CAM expertise |
132 |
30 mins |
66 hrs |
|
8/2/04 |
5 |
Telephone Questionnaire to Assess Promotional Efforts of the Body & Soul: A Celebration of Healthy Eating & Living Program Guide |
CIS callers ordering the Body & Soul Guide |
1000 |
2 mins |
34 hrs |
|
11/16/04 |
6 |
National Telephone Survey of the General Public on Their Knowledge, Attitudes, and Practices Regarding Fruit and Vegetable Consumption |
General Public |
1000 |
6 mins |
100 hrs |
|
11/29/04 |
7 |
National Telephone Survey of African American Males on Their Knowledge, Attitudes, and Practices Regarding Fruit and Vegetable Consumption |
Public (African American Males) |
880 |
11 mins |
162 hrs |
|
12/14/04 |
8 |
Formative Research to Further Develop and Improve NCI’s Consumer Advocate in Research and Related Activities (CARRA) Program |
CARRA members |
200 |
10 mins |
33 hrs |
|
12/21/04 |
9 |
Mail Questionnaire to Members of the Vietnamese American Medical Association to Understand Barriers to Cervical Cancer Screening Among Vietnamese Women |
Members of Vietnamese American Medical Association |
250 |
5 mins |
21hrs |
|
2/22/05 |
10 |
Online Survey to Assess Usefulness of and Inform Changes to NCI’s Cancer Progress Report |
Health policy makers, cancer researchers, advocacy organization members |
250 |
15 mins |
63 hrs |
|
5/13/05 |
11 |
Formative Research to Assess Public Attitudes and Behaviors Regarding Fruit and Vegetable Consumption |
General public |
165 |
25 mins |
69 hrs |
|
4/29/05 |
12 |
Formative Research to Assess Factors Affecting the Translation of Research into Cancer Care Practice |
Cancer practitioners |
1125 |
10 mins |
188 hrs |
|
5/31/05 |
13 |
Formative Research to Assess How Facing Forward: Life After Cancer Treatment Impacts Knowledge, Attitudes, and Practice of Cancer Patients’ Follow-Up Care |
Cancer patients |
840 |
10 mins |
140 hrs |
|
6/20/05 |
14 |
Survey to Determine User Preferences in Development of HINTS One-Page Summaries |
Health communication professionals |
200 |
15 mins |
40 hrs |
|
1/30/06 |
15 |
Formative Research to Assess Non-Government Funding Opportunities for Complementary and Alternative Medicine (CAM) Cancer Research |
Non-government organizations |
150 |
15 mins |
43 hrs |
|
2/21/06 |
16 a-e |
Survey of Bureau of Primary Health Care (BPHC) Staff to Assess Factors that Contribute to Successful Dissemination of Planned Cancer Screening |
BPHC staff of HRSA |
260 |
20 mins |
87 hrs |
|
3/1/06 |
17 |
Formative Research to Understand the Needs, Attitudes, and Beliefs of NCI’s Consumer Advocates in Research and Related Activities (CARRA) Members |
CARRA members |
160 |
15 mins |
40 hrs |
|
4/21/06 |
18 a/b |
Baseline and Follow-Up Survey to Determine Awareness Levels and Communications Preferences of Advocates Regarding Colorectal Cancer Clinical Trials |
Colorecal cancer advocacy constituents |
950 |
10 mins |
150 hrs |
|
6/7/06 |
19 |
NCI’s Center for Cancer Research Survey to Assess Health Care Professionals’ Awareness of NCI Intramural Clinical Trials |
Health care professionals |
250 |
5 mins |
20 hrs |
|
6/26/06 |
20 |
Formative Research to Assess Intermediate Outcomes of NCI’s “Plan, Link, Act, and Network with Evidence-Based Tools” (PLANET) Resource |
Health care professionals |
120 |
12 mins |
24 hrs |
|
TOTAL BURDEN HOURS |
1731 hrs |
File Type | application/msword |
File Title | Title |
Author | Ellen Eisner |
Last Modified By | goodmann |
File Modified | 2006-09-13 |
File Created | 2006-09-13 |