Workload Management Study of Central Cancer Registries

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Att C-1. WLM Survey_09BV[1].doc	Supplementary Document	Uploaded 2010-11-29	Available
Att C-1. Workload Mgmt Survey REV 11.24.2010[1].pdf	Supplementary Document	Uploaded 2010-11-29	Available
SS_Part B_09BV.doc	Supporting Statement B	Uploaded 2010-08-26	Available
Att H. IRB_09BV.pdf	Supplementary Document	Uploaded 2010-08-26	Available
Att G. NAACR LOS_09BV.pdf	Supplementary Document	Uploaded 2010-08-26	Available
Att F. WLM Adv Cmte_09BV.doc	Supplementary Document	Uploaded 2010-08-26	Available
Att E. Compare PEI_WLM_09BV.doc	Supplementary Document	Uploaded 2010-08-26	Available
Att B-2.Public Cmts_09BV.doc	Supplementary Document	Uploaded 2010-08-26	Available
Att B. FRN_09BV.pdf	Supplementary Document	Uploaded 2010-08-26	Available
Att A. PHSA_09BV.doc	Supplementary Document	Uploaded 2010-08-26	Available
Att C-2. Cvr Email WLM Survey_09BV.doc	Supplementary Document	Uploaded 2010-08-26	Available
Att C-3. F-U Email_09BV.doc	Supplementary Document	Uploaded 2010-08-26	Repair queued
SS_Part A_09BV.doc	Supporting Statement A	Uploaded 2010-08-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194610	Work Activities Journal	Other-WORD	New
194609	Telephone Reminder	Other-WORD	New
194608	Workload and Time Management Survey	Other-Word	New

ICR Details

OMB Control No: 0920-0874	ICR Reference No: 201009-0920-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Workload Management Study of Central Cancer Registries
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 with change	Conclusion Date: 12/05/2010
	Date Received in OIRA: 09/20/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2011	12 Months From Approved
Responses	429	0	0
Time Burden (Hours)	921	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Respondents will be NPCR-funded central cancer registries in 45 states and the District of Columbia. Information will be collected about the procedures used and the staff time commitments necessary to perform a variety of registry tasks. Information will be used to develop workload and staffing standards.

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Authorizing Statute(s): US Code: 42 USC 241 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 29550	05/26/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 52952	08/30/2010
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
Telephone Reminder
Workload and Time Management Survey
Work Activities Journal

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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	429	0	0	429	0	0
Annual Time Burden (Hours)	921	0	0	921	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.

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Annual Cost to Federal Government: $56,248

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? Yes

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]? No

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: 09/20/2010

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