Focus Group Testing to Effectively Plan and Tailor Cancer Prevention and Control Communication Campaigns

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
AttJ2 - Moderator Guide Latina	Form and Instruction	New	Available
AttJ1 - Moderator Guide AA	Form and Instruction	New	Available
AttE2 - Recruitment Screener Latina	Form	New	Available
AttE1 - Recruitment Screener AA	Form	New	Available
AttA2 - Prediscussion Info Sheet Latina	Form	New	Available
Att1b - Post-discussion Info Sheet AA	Form	New	Available
Att1a - Prediscussion Info Sheet AA	Form	New	Available
Moderator Guide	Form and Instruction	New	Available
Screener for Primary Care Providers	Form and Instruction	New	Available
Screener for Gynecologists	Form and Instruction	New	Available
Moderator's guide	Form	New	Available
Recruitment screener	Form	New	Available
Moderator Disucssion Guide	Form	New	Available
Form 2 Final Consumer Screener	Form	Unchanged	Repair queued
Recruitment screener	Form	Unchanged	Available
CHANGE REQUEST 0920-0800.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2009-06-18	Available
Part 2_Screening.doc	Supplementary Document	Uploaded 2008-09-15	Available
Part 2_Focus Groups.doc	Supplementary Document	Uploaded 2008-09-15	Available
Reference Questions for Screening Form.doc	Supplementary Document	Uploaded 2008-09-15	Available
Reference Questions for Focus Group Guide.doc	Supplementary Document	Uploaded 2008-09-15	Available
Appendix A2. Johannas Law.pdf	Supplementary Document	Uploaded 2008-08-11	Available
Appendix A1. PHSA.doc	Supplementary Document	Uploaded 2008-08-11	Available
SS Part A 07 18 08.doc	Supporting Statement A	Uploaded 2008-08-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200111	Test of Effectiveness of Screening Recruitment Messages among African American Women in North Carolina	Form and Instruction	New	AttJ2 - Moderator Guide Latina
200111	Test of Effectiveness of Screening Recruitment Messages among African American Women in North Carolina	Form and Instruction	New	AttJ1 - Moderator Guide AA
200111	Test of Effectiveness of Screening Recruitment Messages among African American Women in North Carolina	Form	New	AttE2 - Recruitment Screener Latina
200111	Test of Effectiveness of Screening Recruitment Messages among African American Women in North Carolina	Form	New	AttE1 - Recruitment Screener AA
200111	Test of Effectiveness of Screening Recruitment Messages among African American Women in North Carolina	Form	New	AttA2 - Prediscussion Info Sheet Latina
200111	Test of Effectiveness of Screening Recruitment Messages among African American Women in North Carolina	Form	New	Att1b - Post-discussion Info Sheet AA
200111	Test of Effectiveness of Screening Recruitment Messages among African American Women in North Carolina	Form	New	Att1a - Prediscussion Info Sheet AA
197402	Health Provider Formative Focus Group Testing for the Inside Knowledge: Get the Facts about Gynecologic Cancer Campaign	Form and Instruction	New	Moderator Guide
197402	Health Provider Formative Focus Group Testing for the Inside Knowledge: Get the Facts about Gynecologic Cancer Campaign	Form and Instruction	New	Screener for Primary Care Providers
197402	Health Provider Formative Focus Group Testing for the Inside Knowledge: Get the Facts about Gynecologic Cancer Campaign	Form and Instruction	New	Screener for Gynecologists
193889	Screen for Life: National Colorectal Cancer Action Campaign	Form	New	Moderator's guide
193889	Screen for Life: National Colorectal Cancer Action Campaign	Form	New	Recruitment screener
190099	Concept Testing for the Inside Knowledge: Get the Facts about Gynecologic Cancer Campaign	Form	New	Moderator Disucssion Guide
189077	Focus Group for Insider Knowledge:Get the Facts about Gynecologic Cancer	Form	Unchanged	Final Consumer Screener
189077	Focus Group for Insider Knowledge:Get the Facts about Gynecologic Cancer	Form	Unchanged	Recruitment screener

ICR Details

OMB Control No: 0920-0800	ICR Reference No: 200906-0920-015
Status: Historical Active	Previous ICR Reference No: 200810-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Focus Group Testing to Effectively Plan and Tailor Cancer Prevention and Control Communication Campaigns
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: Approved without change	Conclusion Date: 06/25/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/18/2009
Terms of Clearance: Approved consistent with previous terms of clearance.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2012	01/31/2012	01/31/2012
Responses	2,592	0	2,592
Time Burden (Hours)	1,814	0	1,814
Cost Burden (Dollars)	52,843	0	52,843

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Abstract: CDC's Division of Cancer Prevention and Control requests OMB approval for a generic clearance to conduct formative evaluation efforts in order to effectively plan new and/or tailor existing cancer communication campaigns. Information will be collected through focus group discussions involving the general public and health care professionals. Proposed activities will utilize HHS Health Communication Process methodology.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act-Research and Investigation
  

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 5197	01/29/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 47603	08/14/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Concept Testing for the Inside Knowledge: Get the Facts about Gynecologic Cancer Campaign	none	Moderator Disucssion Guide
Focus Group for Insider Knowledge:Get the Facts about Gynecologic Cancer	none, 2	Recruitment screener ,   Final Consumer Screener
Health Provider Formative Focus Group Testing for the Inside Knowledge: Get the Facts about Gynecologic Cancer Campaign	none, none, none	Screener for Gynecologists ,   Screener for Primary Care Providers ,   Moderator Guide
Screen for Life: National Colorectal Cancer Action Campaign	none, none	Recruitment screener ,   Moderator's guide
Test of Effectiveness of Screening Recruitment Messages among African American Women in North Carolina	none, none, none, none, none, none, none	Att1a - Prediscussion Info Sheet AA ,   Att1b - Post-discussion Info Sheet AA ,   AttA2 - Prediscussion Info Sheet Latina ,   AttE1 - Recruitment Screener AA ,   AttE2 - Recruitment Screener Latina ,   AttJ1 - Moderator Guide AA ,   AttJ2 - Moderator Guide Latina

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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	2,592	2,592	0	0	0	0
Annual Time Burden (Hours)	1,814	1,814	0	0	0	0
Annual Cost Burden (Dollars)	52,843	52,843	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: New

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Annual Cost to Federal Government: $500,000

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)? No

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: 06/18/2009

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