Pretesting of NCI's Office of Communications Messages

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 #18_Att_ A CT Accrual Needs Assessment instrument	Form and Instruction	New	Available
Form 6 #17 HINTS Screener	Form and Instruction	New	Available
Form 5 #17_Att_E_HINTS Student Guide	Form and Instruction	New	Available
Form 4 #17_Att_D_HINTS Potential Results User Guide	Form and Instruction	New	Available
Form 1 #17_Att_A_HINTS Current Data User Guide	Form and Instruction	New	Available
Form 3 #17_Att_C_HINTS Current Results User Guide	Form and Instruction	New	Available
Form 2 #17_Att_B_HINTS Potential Data User Guide	Form and Instruction	New	Available
Form 2B Moderator's Guide_With Cancer_Sub-study #16	Form and Instruction	New	Available
Form 2A Moderator's Guide_No Cancer_Sub-study #16	Form and Instruction	New	Available
Form 1 Screener_Sub-study #16	Form and Instruction	New	Available
Form 1 Moderator's Guide ASL	Form and Instruction	New	Available
Form 1 Amended Survey to Assess Public Understanding of Risk Estimates through Visual Displays (Sub-study #14)	Form and Instruction	New	Available
Form 3 Final Revised Survey	Form	New	Available
Form 2 Revised Survey	Form	New	Available
Form 1 PDF - Screen Shots of Survey	Form	New	Available
Form 1 Word Version of Survey	Form	New	Repair queued
Form 1 #12 Sub-study survey	Form	New	Available
Form 2 Revised Screener	Form and Instruction	New	Available
Form 1 Revised Focus Group Guide	Form and Instruction	New	Available
Form 2 Moderator's Guide	Form and Instruction	New	Available
Form 1 Recruitment Screener	Form and Instruction	New	Repair queued
Form Form #1 HAN Risk Survey	Form and Instruction	New	Repair queued
OMB Cover Ltr Han RISK FINAL.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2008-10-07	Available
ATTACH 22_Signed Exempt 45 CFR 46.pdf	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 21_Sign Privacy Act Officer Memo.pdf	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 20_OMB 60 Day FRN 2006 package.pdf	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 19_CARRA.doc	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 18_CARRA.doc	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 17_CCA.doc	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 16_BPHC.doc	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 15_Translation.doc	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 14_Cervical Cancer.pdf	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 13_Facing Forward.doc	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 12_Telephone Survey Vegetable.doc	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 11_Paper Survey Vegetable.doc	Supplementary Document	Uploaded 2008-10-07	Repair queued
ATTACH 10_Body&Soul.doc	Supplementary Document	Uploaded 2008-10-07	Repair queued
ATTACH 9_CAM.doc	Supplementary Document	Uploaded 2008-10-07	Repair queued
ATTACH 8_PLANET.doc	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 7_HINTS.pdf	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 6_CPR.doc	Supplementary Document	Uploaded 2008-10-07	Repair queued
ATTACH 5_caBig.doc	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 4_NCI Bulletin Telephone.doc	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 3_NCI Bulletin Survey.doc	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 2_Listing of Instruments.doc	Supplementary Document	Uploaded 2008-10-07	Available
ATTACH 1_NCI Legislative Authority.doc	Supplementary Document	Uploaded 2008-10-07	Available
B-0925-0046.doc	Supporting Statement B	Uploaded 2006-10-31	Available
SSA_0925-0046.doc	Supporting Statement A	Uploaded 2008-10-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191499	Bundled Sub-Studies for HINTS (#17) and NCI Cancer Centers' Clinical Trial Accruals (#18)	Form and Instruction	New	#18_Att_ A CT Accrual Needs Assessment instrument
191499	Bundled Sub-Studies for HINTS (#17) and NCI Cancer Centers' Clinical Trial Accruals (#18)	Form and Instruction	New	#17 HINTS Screener
191499	Bundled Sub-Studies for HINTS (#17) and NCI Cancer Centers' Clinical Trial Accruals (#18)	Form and Instruction	New	#17_Att_E_HINTS Student Guide
191499	Bundled Sub-Studies for HINTS (#17) and NCI Cancer Centers' Clinical Trial Accruals (#18)	Form and Instruction	New	#17_Att_D_HINTS Potential Results User Guide
191499	Bundled Sub-Studies for HINTS (#17) and NCI Cancer Centers' Clinical Trial Accruals (#18)	Form and Instruction	New	#17_Att_A_HINTS Current Data User Guide
191499	Bundled Sub-Studies for HINTS (#17) and NCI Cancer Centers' Clinical Trial Accruals (#18)	Form and Instruction	New	#17_Att_C_HINTS Current Results User Guide
191499	Bundled Sub-Studies for HINTS (#17) and NCI Cancer Centers' Clinical Trial Accruals (#18)	Form and Instruction	New	#17_Att_B_HINTS Potential Data User Guide
190259	An Assessment of Rural and Uninsured Consumer Perspectives on Cancer and Related Communications: A Focus Group Study (Sub-Study #16)	Form and Instruction	New	Moderator's Guide_With Cancer_Sub-study #16
190259	An Assessment of Rural and Uninsured Consumer Perspectives on Cancer and Related Communications: A Focus Group Study (Sub-Study #16)	Form and Instruction	New	Moderator's Guide_No Cancer_Sub-study #16
190259	An Assessment of Rural and Uninsured Consumer Perspectives on Cancer and Related Communications: A Focus Group Study (Sub-Study #16)	Form and Instruction	New	Screener_Sub-study #16
189575	Online Focus Groups to Inform the Development of a National Biorepository (#15)	Form and Instruction	New	Moderator's Guide ASL
188662	Amended Survey to Assess Public Understanding of Risk Estimates through Visual Displays (Sub-Study #14 -- amended #12)	Form and Instruction	New	Amended Survey to Assess Public Understanding of Risk Estimates through Visual Displays (Sub-study #14)
187737	Pretesting/Formative Research for Informing the Development of a National Biorepository	Form	New	Final Revised Survey
187737	Pretesting/Formative Research for Informing the Development of a National Biorepository	Form	New	Revised Survey
187737	Pretesting/Formative Research for Informing the Development of a National Biorepository	Form	New	PDF - Screen Shots of Survey
187737	Pretesting/Formative Research for Informing the Development of a National Biorepository	Form	New	Word Version of Survey
187265	Survey to Assess Public Understanding of Risk Estimates through Visual Displays	Form	New	#12 Sub-study survey
186910	Focus Groups to Assess Consumers' Perceptions of Direct-To-Consumer Genetic Testing	Form and Instruction	New	Revised Screener
186910	Focus Groups to Assess Consumers' Perceptions of Direct-To-Consumer Genetic Testing	Form and Instruction	New	Revised Focus Group Guide
186910	Focus Groups to Assess Consumers' Perceptions of Direct-To-Consumer Genetic Testing	Form and Instruction	New	Moderator's Guide
186910	Focus Groups to Assess Consumers' Perceptions of Direct-To-Consumer Genetic Testing	Form and Instruction	New	Recruitment Screener
186833	Web-based Survey to Communicate Cancer	Form and Instruction	New	HAN Risk Survey

ICR Details

OMB Control No: 0925-0046	ICR Reference No: 200810-0925-002
Status: Historical Active	Previous ICR Reference No: 200610-0925-005
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Pretesting of NCI's Office of Communications Messages
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/14/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/07/2008
Terms of Clearance: Prior terms of clearance continue. This approval grants approval for the first IC under this clearance. Future IC will be submitted as Gen ICs rather than as changes.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	01/31/2010	01/31/2010
Responses	13,780	0	13,780
Time Burden (Hours)	2,010	0	2,010
Cost Burden (Dollars)	0	0	0

---

Abstract: To help ensure that health messages, materials, strategies, and information services developed by NCI's Office of Communications (OC) have the potential of being received, understood, and accepted by their target audiences, OC will pretest them while they are under development. Respondents include cancer patients and their families, members of the public, health professionals, and organizations/groups that interface with these publics.

---

Authorizing Statute(s): US Code: 42 USC 285.a-2 Name of Law: NCI's education and information dissemination activities
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 46486	08/14/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 62114	10/23/2006
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Amended Survey to Assess Public Understanding of Risk Estimates through Visual Displays (Sub-Study #14 -- amended #12)	1	Amended Survey to Assess Public Understanding of Risk Estimates through Visual Displays (Sub-study #14)
An Assessment of Rural and Uninsured Consumer Perspectives on Cancer and Related Communications: A Focus Group Study (Sub-Study #16)	2A, 2B, 1	Moderator's Guide_No Cancer_Sub-study #16 ,   Moderator's Guide_With Cancer_Sub-study #16 ,   Screener_Sub-study #16
Bundled Sub-Studies for HINTS (#17) and NCI Cancer Centers' Clinical Trial Accruals (#18)	3, 2, 1, 4, 5, 6, 1	#17_Att_C_HINTS Current Results User Guide ,   #17_Att_B_HINTS Potential Data User Guide ,   #17_Att_A_HINTS Current Data User Guide ,   #17_Att_D_HINTS Potential Results User Guide ,   #17_Att_E_HINTS Student Guide ,   #17 HINTS Screener ,   #18_Att_ A CT Accrual Needs Assessment instrument
Focus Groups to Assess Consumers' Perceptions of Direct-To-Consumer Genetic Testing	1, 2, 1, 2	Recruitment Screener ,   Moderator's Guide ,   Revised Focus Group Guide ,   Revised Screener
Online Focus Groups to Inform the Development of a National Biorepository (#15)	1	Moderator's Guide ASL
Pretesting/Formative Research for Informing the Development of a National Biorepository	1, 1, 2, 3	Word Version of Survey ,   PDF - Screen Shots of Survey ,   Revised Survey ,   Final Revised Survey
Survey to Assess Public Understanding of Risk Estimates through Visual Displays	1	#12 Sub-study survey
Web-based Survey to Communicate Cancer	Form #1	HAN Risk Survey

---

ICR Summary of Burden

table that charts list of burden

	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	13,780	13,780	0	0	0	0
Annual Time Burden (Hours)	2,010	2,010	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

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

---

Common Form ICR:  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:

(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: 10/07/2008

---