Survey of Health Care Professionals' Awareness and Perceptions of the National Cancer Institute's Intramural Clinical Trials (NCI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Survey to Assess Health Care Professionals' Awareness of NCI Intramural Clinical Trials	Form	New	Available
SSB-CCR 2010 survey_4-2-2010.doc	Supporting Statement B	Uploaded 2010-06-14	Available
Attachment 3 - OHSR Exemption.pdf	Supplementary Document	Uploaded 2010-06-16	Available
Attachment 4 - NIH Privacy Act Memo.pdf	Supplementary Document	Uploaded 2010-06-14	Available
Attachment 2 - 2007 CSSC Email Survey Report.doc	Supplementary Document	Uploaded 2010-06-14	Available
Cover_memo_CCR_2010.06-14.docx	Supplementary Document	Uploaded 2010-06-14	Available
SSA-CCR 2010 survey_6-16-2010.doc	Supporting Statement A	Uploaded 2010-06-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
193775	Survey to Assess Health Care Professionals' Awareness of NCI Intramural Clinical Trials	Form	New

ICR Details

OMB Control No: 0925-0619	ICR Reference No: 201007-0925-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Survey of Health Care Professionals' Awareness and Perceptions of the National Cancer Institute's Intramural Clinical Trials (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: 08/16/2010
	Date Received in OIRA: 07/14/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2013	36 Months From Approved
Responses	330	0	0
Time Burden (Hours)	28	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of the Survey of Health Care Professionals' Awareness and Perceptions of the National Cancer Institute's Intramural Clinical Trials (NCI) is to assess respondents' awareness and knowledge of NCI and measure awareness of NCI clinical trials at the NIH Clinical Center in Bethesda, Md. The survey was disseminated electronically in July of 2006 and August of 2007 to members of the American Medical Association (AMA) with a primary specialty of gastroenterology, medical oncology, radiation oncology, hematology/oncology, thoracic surgery, colon & rectal surgery, gynecological oncology, surgical oncology, or head & neck surgery. This request is for a new survey that previously received OMB approval in 2006 under a generic clearance (OMB# 0925-0046-05). This year's survey has been slightly revised and will be sent to members of the same AMA primary specialty categories. Results of the previous surveys have been used to shape the outreach methods used by MMG and NCI to promote CCR's trials, and this year's survey will serve the same purpose.

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Authorizing Statute(s): US Code: 42 USC 412(285a-1) Name of Law: Public Health Service Act
   US Code: 42 USC 413(285a-2) 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:
	75 FR 20999	04/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 39022	07/07/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Survey to Assess Health Care Professionals' Awareness of NCI Intramural Clinical Trials	1	Survey for Health Care Professionals

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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	330	0	0	330	0	0
Annual Time Burden (Hours)	28	0	0	28	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: $19,000

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]? No

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: 07/14/2010

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