Use of Evidence Based Practices for Comprehensive Cancer Control

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Program Partners	Form and Instruction	New	Repair queued
Program Directors	Form and Instruction	New	Available
0920-11KA_SS-Part B_1 18 2012.docx	Supporting Statement B	Uploaded 2012-01-18	Available
Attachment B2. Summary of Public Comments.doc	Supplementary Document	Uploaded 2011-10-31	Available
Attachment B1. Federal Register Notice.pdf	Supplementary Document	Uploaded 2011-10-31	Available
Attachment A. Authorizing Legislation.docx	Supplementary Document	Uploaded 2011-10-31	Available
Attachment D5. Program Partners Thank You Email.docx	Supplementary Document	Uploaded 2011-10-31	Available
Attachment D4. Program Partners Postcard.docx	Supplementary Document	Uploaded 2011-10-31	Available
Attachment D3. Program Partners Follow Up Email.docx	Supplementary Document	Uploaded 2011-10-31	Repair queued
Attachment D2. Program Partners Invitation Email.docx	Supplementary Document	Uploaded 2011-10-31	Available
Attachment C5. Program Director Follow Up Emails.docx	Supplementary Document	Uploaded 2011-10-31	Available
Attachment C3. Program Directors Advance Letter.docx	Supplementary Document	Uploaded 2011-10-31	Available
0920-11KA_SS-Part A_10 26 2011.docx	Supporting Statement A	Uploaded 2011-10-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200084	Program Partners	Form and Instruction	New
200083	Program Directors	Form and Instruction	New

ICR Details

OMB Control No: 0920-0921	ICR Reference No: 201111-0920-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Use of Evidence Based Practices for Comprehensive Cancer Control
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: 02/06/2012
	Date Received in OIRA: 11/08/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2013	12 Months From Approved
Responses	198	0	0
Time Burden (Hours)	138	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC plans to conduct a study examining the dissemination, adoption, and implementation of evidence-based practices (EBPs) in comprehensive cancer control programs. The study will describe challenges to, and unintended consequences of, implementing EBPs.

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Authorizing Statute(s): US Code: 42 USC 301 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:
	76 FR 52329	08/22/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 68465	11/04/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Program Directors	none, none, none	Phone Interview ,   Scheduling Script ,   Web Survey Instrument
Program Partners	none	Web Survey

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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	198	0	0	198	0	0
Annual Time Burden (Hours)	138	0	0	138	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 ICR.

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Annual Cost to Federal Government: $285,108

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: 11/08/2011

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