Minimum Data Elements for the National Breast and Cervical Cancer Early Detection Program

ICR 201209-0920-001

OMB: 0920-0571

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement B
2012-08-21
Supplementary Document
2012-08-21
Supplementary Document
2012-08-21
Supplementary Document
2012-08-08
Supplementary Document
2012-08-08
Supplementary Document
2012-08-08
Supplementary Document
2012-08-08
Supplementary Document
2012-08-08
Supplementary Document
2012-08-08
Supplementary Document
2012-08-08
Supplementary Document
2012-08-08
Supplementary Document
2012-08-08
Supporting Statement A
2012-08-21
ICR Details
0920-0571 201209-0920-001
Historical Active 200910-0920-002
HHS/CDC
Minimum Data Elements for the National Breast and Cervical Cancer Early Detection Program
Extension without change of a currently approved collection   No
Regular
Approved without change 10/05/2012
Retrieve Notice of Action (NOA) 09/04/2012
  Inventory as of this Action Requested Previously Approved
10/31/2015 36 Months From Approved 11/30/2012
134 0 136
536 0 544
0 0 0

The CDC-funded National Breast and Cervical Cancer Early Detection Program (NBCCEDP) is the largest organized cancer screening program in the United States, providing critical breast and cervical cancer screening services to underserved women. CDC proposes to continue the collection of performance indicator information from NBCCEDP grantees. The information supports program planning, evaluation, and research.

PL: Pub.L. 101 - 354 300k Name of Law: The Breast and Cervical Cancer Mortality Prevention Act of 1990
   US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  77 FR 33467 06/06/2012
77 FR 51807 08/27/2012
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 134 136 0 -2 0 0
Annual Time Burden (Hours) 536 544 0 -8 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
This is an extension request with slightly reduced burden due to loss of one grantee; however, there is no change to the average burden per response.

$992,516
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Carol Walker 4046394773

  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.
09/04/2012


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