National Program of Cancer Registries Program Evaluation Instrument

Forms and Documents

Document Name	Status
NPCR - Program Evaluation Instrument (NPCR-PEI) Form	Modified
SS-B_0706_3 26 2013.docx Supporting Statement B	2013-04-17
Att 8_Usability Consultants_2012.doc Supplementary Document	2013-04-17
Att 7_Outside Consultants.doc Supplementary Document	2013-04-17
Att 6_NPCR Program Evaluation Results_2011.docx Supplementary Document	2013-04-17
Att 5_NPCR Program Standards 2012-2017.docx Supplementary Document	2013-04-17
Att 4_List of NPCR Funded Awardees.docx Supplementary Document	2013-04-17
Att 2_Federal Register Notice.pdf Supplementary Document	2013-04-17
Att 1B_Section 301 of the Public Health Service Act.pdf Supplementary Document	2013-04-17
Att 1A_Cancer Registries Amendment Act - Public Law 102-515.pdf Supplementary Document	2013-04-17
Att 3C_Summary of Proposed Changes.docx Supplementary Document	2013-04-18
Att 3B_0706_Sample Letter w Inst_2012.docx Supplementary Document	2013-04-18
SS-A_0706_4 15 2013 -final.doc Supporting Statement A	2013-04-17

IC Document Collections

IC ID	Document Title	Status
37809	NPCR - Program Evaluation Instrument (NPCR-PEI) Form	Modified

ICR Details

OMB Control No: 0920-0706	ICR Reference No: 201304-0920-015
Status: Historical Active	Previous ICR Reference No: 200902-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No: 19285
Title: National Program of Cancer Registries Program Evaluation Instrument
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/22/2013
	Date Received in OIRA: 04/25/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	36 Months From Approved
Responses	32	0	0
Time Burden (Hours)	64	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC provides funding to 48 central cancer registries through the National Program of Cancer Registries (NPCR). Awardees prepare progress and activity reports that allow CDC to monitor their performance and adherence to NPCR program standards. Reports are submitted electronically to CDC every other year.

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Authorizing Statute(s): PL: Pub.L. 102 - 515 3312 Name of Law: Cancer Registries Amendment Act
   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:
	77 FR 66467	11/05/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 23765	04/22/2013
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
NPCR - Program Evaluation Instrument (NPCR-PEI)	none	NPCR Program Evaluation

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ICR Summary 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	32	0	0	0	32	0
Annual Time Burden (Hours)	64	0	0	0	64	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: There are 2 changes from the previous collection period. The number of reporting entities is reduced from 49 to 48 and the average burden per response is increased from 1.5 to 2 hours. There is a net increase of 64 annualized burden hours.

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Annual Cost to Federal Government: $49,166

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]? 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: 04/25/2013

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