Survey of Primary Care Physicians' Practices Regarding Prostate Cancer Screening

ICR 200803-0920-005

OMB: 0920-0746

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2008-03-17
Supplementary Document
2007-04-09
Supplementary Document
2007-04-09
ICR Details
0920-0746 200803-0920-005
Historical Active 200704-0920-002
HHS/CDC
Survey of Primary Care Physicians' Practices Regarding Prostate Cancer Screening
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/21/2008
Retrieve Notice of Action (NOA) 03/27/2008
  Inventory as of this Action Requested Previously Approved
07/31/2009 07/31/2009 07/31/2009
2,390 0 2,390
1,033 0 1,033
0 0 0

The Centers for Disease Control and Prevention (CDC) requests approval for minor changes to this one-time collection of information to assess primary care physicians' attitudes and practices regarding prostate cancer screening.

US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  71 FR 54659 09/18/2006
72 FR 17917 04/10/2007
No

  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 2,390 2,390 0 0 0 0
Annual Time Burden (Hours) 1,033 1,033 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$324,957
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Carol Walker 4046394773

  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.
03/26/2008


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