NCI Cancer Information Service on Demographic and Smoking/Tobacco Use

Forms and Documents

Document Name	Status
Form 1 NCI Cancer Information Service on Demographic and Smoking/Tobacco Use Form and Instruction	Modified
Change 0925-0208.doc Justification for No Material/Nonsubstantive Change	2007-04-19
0925-0208.doc Supporting Statement A	2006-11-21

IC Document Collections

IC ID	Document Title	Status
43626	NCI Cancer Information Service on Demographic and Smoking/Tobacco Use Form and Instruction	Modified

ICR Details

OMB Control No: 0925-0208	ICR Reference No: 200706-0925-002
Status: Historical Inactive	Previous ICR Reference No: 200607-0925-004
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: NCI Cancer Information Service on Demographic and Smoking/Tobacco Use
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: Improperly submitted and continue	Conclusion Date: 06/25/2007
	Date Received in OIRA: 06/19/2007
Terms of Clearance: NIH did not intend to submit this ICR to OMB. Therfore, this ICR is being returned to NIH, as requested by NIH.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2009	09/30/2009	09/30/2009
Responses	49,400	0	49,400
Time Burden (Hours)	1,823	0	1,823
Cost Burden (Dollars)	0	0	0

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Abstract: NCI's Cancer Information Service will collect demographic and smoking information from a sample of telephone and online clients. There will be 49,400 respondents annually for a total of 1823 burden hours.

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Authorizing Statute(s): None

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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
NCI Cancer Information Service on Demographic and Smoking/Tobacco Use	1	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: Since our last submission in 2003, OMB has requested that the Average Time per Response be rounded up to intervals of one minute each. Thus, even though our estimated number of respondents has been reduced since the last submission and the actual time it takes to answer each of the questions has not changed, the rounding convention has resulted in an increased estimate of burden hours per respondent and overall annual burden (from 1,951 in 2003 to 2,616 for these same set of questions in this request for increase). However, the true burden to respondents has actually been reduced from 2003 to this request in 2006.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 06/19/2007

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