Estimating the Cost of Sigmoidoscopy and Colonoscopy for Colorectal Cancer Screening in U.S. Healthcare Facilities (SECOST)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SECOST Survey (Mail)	Form	New	Repair queued
SECOST Screening Instrument (Telephone)	Form	New	Repair queued
SECOST.doc	Supplementary Document	Uploaded 2007-08-09	Repair queued
SECOST Supporting Statement B.doc	Supporting Statement B	Uploaded 0000-00-00	Repair queued
Attachment 3B Reply to Jean Public 07.06.06.pdf	Supplementary Document	Uploaded 0000-00-00	Repair queued
Attachment 2 60-day Federal Register Notice.pdf	Supplementary Document	Uploaded 0000-00-00	Repair queued
Attachment 6 Analysis Plan.doc	Supplementary Document	Uploaded 0000-00-00	Repair queued
Attachment 5 Battelle IRB Approval.pdf	Supplementary Document	Uploaded 0000-00-00	Repair queued
Attachment 1 Authorizing Legislation.doc	Supplementary Document	Uploaded 0000-00-00	Repair queued
Attachment 3A Public Comment Jean Public 06.01.06.pdf	Supplementary Document	Uploaded 0000-00-00	Repair queued
Attachment 4 Participants Providing Feedback.doc	Supplementary Document	Uploaded 0000-00-00	Repair queued
SECOST Supporting Statement A and B.doc	Supporting Statement A	Uploaded 0000-00-00	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
179149	SECOST Survey (Mail)	Form	New
179148	SECOST Screening Instrument (Telephone)	Form	New

ICR Details

OMB Control No:	ICR Reference No: 200703-0920-008
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Estimating the Cost of Sigmoidoscopy and Colonoscopy for Colorectal Cancer Screening in U.S. Healthcare Facilities (SECOST)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 08/10/2007
	Date Received in OIRA: 03/21/2007
Terms of Clearance: Withdrawn per CDC request. Upon resubmission OMB shall waive the 60 and 30 day public comment periods.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		12 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this project is to conduct a survey of a nationally representative sample of healthcare facilities in order to estimate the average variable costs of providing colonoscopy and flexible sigmoidoscopy for CRC screening and follow-up services. The estimated average variable cost by procedure will be compared to the reimbursement rates for both screening procedures in order to determine whether the payments to facilities exceed this minimum threshold.

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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:
	71 FR 31191	06/01/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 8165	02/23/2007
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
SECOST Screening Instrument (Telephone)	None	Telephone Screening Instrument
SECOST Survey (Mail)	None	SECOST Survey

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new data collection.

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Annual Cost to Federal Government: $383,500

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 03/21/2007

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