Provide Services for the Dissemination of CER to Patients and Providers to Increase Adoption

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CER Section B Statistical Methods 6Oct2011.docx	Supporting Statement B	Uploaded 2011-10-07	Repair queued
0990-Provide Service_CER_PRA Justification _May16.docx	Supporting Statement A	Uploaded 2011-06-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198302	Individual/patients	Other-survey	New
198301	Healthcare Providers (Physicians,	Other-survey	New
198300	FORM D_Healthcare Providers (Physicians,	Other-survey	New
198299	FORM C_Individual/patients	Other-survey	New
198298	FORM B_Healthcare Providers (Physicians,Practitioners, Physician Assistants..	Other-Survey	New
198297	FORM A_Healthcare Providers (Physicians, Physician Assistants....	Other-Survey	New

ICR Details

OMB Control No:	ICR Reference No: 201106-0990-002
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Provide Services for the Dissemination of CER to Patients and Providers to Increase Adoption
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OIRA Conclusion Action: Withdrawn	Conclusion Date: 11/01/2011
	Date Received in OIRA: 06/27/2011
Terms of Clearance: Withdrawn per request from HHS 11/1/11.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this project is to strengthen the link between evidence production and strategies for conveying this information in ways that encourage evidence-based behavior change among providers and patients. The central question is how best to get Comparative Effectiveness Research information to physicians and patients in a way they understand.

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Authorizing Statute(s): None

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:
	76 FR 6793	02/08/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 33761	06/09/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
FORM B_Healthcare Providers (Physicians,Practitioners, Physician Assistants..
FORM C_Individual/patients
FORM A_Healthcare Providers (Physicians, Physician Assistants....
FORM D_Healthcare Providers (Physicians,
Healthcare Providers (Physicians,
Individual/patients

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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: New collection

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Annual Cost to Federal Government: $2,044

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]? 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)? Yes

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: 06/27/2011

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