A Study of Primary and Secondary Prevention Behaviors Practiced Among Five-Year Survivors of Colorectal Cancer

ICR 200904-0920-010

OMB: 0920-0815

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Form
New
Form
New
Supporting Statement B
2009-04-01
Supplementary Document
2009-04-01
Supplementary Document
2009-04-01
Supplementary Document
2009-04-01
Supplementary Document
2009-04-01
Supplementary Document
2009-04-01
Supplementary Document
2009-04-01
Supplementary Document
2009-04-01
Supplementary Document
2009-04-01
Supplementary Document
2009-04-01
Supplementary Document
2009-04-01
Supplementary Document
2009-04-01
Supplementary Document
2009-04-01
Supplementary Document
2009-04-01
Supporting Statement A
2009-04-01
ICR Details
0920-0815 200904-0920-010
Historical Active
HHS/CDC
A Study of Primary and Secondary Prevention Behaviors Practiced Among Five-Year Survivors of Colorectal Cancer
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/24/2009
Retrieve Notice of Action (NOA) 04/17/2009
  Inventory as of this Action Requested Previously Approved
06/30/2010 12 Months From Approved
3,050 0 0
1,095 0 0
0 0 0

Colorectal cancer (CRC) is one of the most commonly diagnosed cancers in the U.S. There are currently over one million CRC survivors in the U.S. and this number is growing. CDC plans to conduct a study of 5-year survivors to examine adherence to recommended screening and prevention practices in this population, and to identify facilitators and barriers.

US Code: 42 USC 241 Name of Law: Pulbic Health Service Act
  
None

Not associated with rulemaking

  73 FR 44268 07/30/2008
74 FR 15728 04/07/2009
Yes

  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 3,050 0 0 3,050 0 0
Annual Time Burden (Hours) 1,095 0 0 1,095 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.

$274,890
Yes Part B of Supporting Statement
Yes
Uncollected
Uncollected
No
Uncollected
Maryam Daneshvar 4046394604

  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.
04/17/2009


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