Collection of Customer Service, Demographic and Smoking/Tobacco Use Information from NCI Cancer Information Service (CIS) Clients

ICR 200907-0925-001

OMB: 0925-0208

Federal Form Document

ICR Details
0925-0208 200907-0925-001
Historical Active 200607-0925-004
HHS/NIH
Collection of Customer Service, Demographic and Smoking/Tobacco Use Information from NCI Cancer Information Service (CIS) Clients
Extension without change of a currently approved collection   No
Regular
Approved without change 08/27/2009
Retrieve Notice of Action (NOA) 07/02/2009
  Inventory as of this Action Requested Previously Approved
08/31/2012 36 Months From Approved 09/30/2009
100,667 0 49,400
2,492 0 1,823
0 0 0

The National Cancer Institute (NCI) currently collects: 1) customer service and demographic information from clients of the Cancer Information Service (CIS) in order to properly plan, implement, and evaluate cancer education efforts, including assessing the extent by which the CIS reaches and impacts underserved populations; 2) smoking/tobacco use behavior of individuals seeking CIS's smoking cessation assistance in order to provide smoking cessation services tailored to the individual client's needs and track their smoking behavior at follow up. The purpose of this request is to renew NCI'S previously approved requests to conduct the above-stated information collections (OMB No. 0925-0208).

US Code: 42 USC 412 (285a-1) Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  74 FR 20320 05/01/2009
74 FR 31445 07/01/2009
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 100,667 49,400 0 0 51,267 0
Annual Time Burden (Hours) 2,492 1,823 0 0 669 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$99,864
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
Uncollected
Mikia Currie 3014350941

  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.
07/02/2009


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