The National Survey of Physician Attitudes Regarding the Care of Cancer Survivors (SPARCCS) (NCI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 5 Follow-Up Contacts	Form and Instruction	New	Available
Form 4 PCP Instrument	Form and Instruction	New	Available
Form 3 Oncologist Instrument	Form and Instruction	New	Available
Form 2 Oncologist Script-Screener	Form and Instruction	New	Available
Form 1 PCP Script-Screener	Form and Instruction	New	Available
SSB_Physicians 9-18-08.doc	Supporting Statement B	Uploaded 2008-09-19	Available
Attachment 11 FAX and Email to Nonresponders.doc	Supplementary Document	Uploaded 2008-09-19	Available
Attachment 7 Non-response Follow-Up Letters_8 July 2008.doc	Supplementary Document	Uploaded 2008-09-19	Available
Attachment 6 NCI Cover and Society Supporting Letters & FAQs_8 July 2008.pdf	Supplementary Document	Uploaded 2008-09-19	Available
Attachment 5 Westat & NCI IRB Approvals_8 July 2008.pdf	Supplementary Document	Uploaded 2008-09-19	Available
Attachment 4 Privacy Act_8 July 2008.pdf	Supplementary Document	Uploaded 2008-09-19	Available
Attachment 3 Consultants_8 July 2008.doc	Supplementary Document	Uploaded 2008-09-19	Available
Cover Memo_SPARCCS_9-18-08.doc	Supplementary Document	Uploaded 2008-09-19	Available
SSA_Physicians 9-18-08.doc	Supporting Statement A	Uploaded 2008-09-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
186879	SPARCCS Follow-Up	Form and Instruction	New	Follow-Up Contacts
186878	SPARCCS Instruments	Form and Instruction	New	PCP Instrument
186878	SPARCCS Instruments	Form and Instruction	New	Oncologist Instrument
186877	SPARCSS Scripts-Screeners	Form and Instruction	New	Oncologist Script-Screener
186877	SPARCSS Scripts-Screeners	Form and Instruction	New	PCP Script-Screener

ICR Details

OMB Control No: 0925-0595	ICR Reference No: 200810-0925-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: The National Survey of Physician Attitudes Regarding the Care of Cancer Survivors (SPARCCS) (NCI)
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: Approved without change	Conclusion Date: 12/19/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/09/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2010	24 Months From Approved
Responses	7,545	0	0
Time Burden (Hours)	904	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The overall purpose of the Survey of Physician Attitudes Regarding the Care of Cancer Survivors (SPARCCS) is to obtain national data on the perceptions, knowledge, and practices of primary care and oncology specialist physicians regarding post-treatment follow-up care of adult cancer survivors. The survey will investigate the reasons for the fragmentation in health care delivered to cancer survivors by exploring limitations in knowledge, confusion about roles, and the key barriers to perceived "best practices" from the unique perspective of the practicing physicians. Two distinct survey instruments will be administered: one to 1,100 oncologists and another to 1,100 primary care physicians (PCPs). The surveys focus on the treatment of patients surviving two common cancers -- breast cancer and colon cancer. In addition to the surveys, a screener will be conducted as well as follow-up contacts to ensure response rates.

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Authorizing Statute(s): US Code: 42 USC 410 (285) 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:
	73 FR 44751	07/31/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 57635	10/03/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
SPARCCS Follow-Up	5	Follow-Up Contacts
SPARCCS Instruments	3, 4	Oncologist Instrument ,   PCP Instrument
SPARCSS Scripts-Screeners	1, 2	PCP Script-Screener ,   Oncologist Script-Screener

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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	7,545	0	0	7,545	0	0
Annual Time Burden (Hours)	904	0	0	904	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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 collection of information.

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Annual Cost to Federal Government: $302,750

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: 10/09/2008

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