National Program of Cancer Registries Cancer Surveillance System (NPCR CSS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0469 National Program of Cancer Registries Cancer Surveillance System - Standard CSS Report	Form and Instruction	Modified	Available
Form 0920-0469 National Program of Cancer Registries Cancer Surveillance System - Enhanced CSS Report	Form and Instruction	New	Available
Rev OMB 0920-0469 Reinstatement Part B 3-21-13.docx	Supporting Statement B	Uploaded 2013-04-05	Available
Attachment 1c. American Recovery and Reinvestment Act of 2009 - Public Law 111-5.zip	Supplementary Document	Uploaded 2013-04-18	Available
Attachment 11. Sample of NPCR CSS Data Evaluation Report.zip	Supplementary Document	Uploaded 2013-04-18	Available
Attachment 5. 308d Assurance of Confidentiality Certificate Approval.pdf	Supplementary Document	Uploaded 2013-04-18	Available
Attachment 10. Cases Reported to CDC in Year 2012 Submission.pdf	Supplementary Document	Uploaded 2013-04-08	Available
Attachment 9. OMB Burden Statement on NPCR CSS Website.pdf	Supplementary Document	Uploaded 2013-04-08	Available
Attachment 2. Data Collection and Data Flow Process for NPCR CSS.pdf	Supplementary Document	Uploaded 2013-04-08	Available
Attachment 8. Institutional Review Board Approval Notification.pdf	Supplementary Document	Uploaded 2013-04-08	Available
Attachment 7. Participants in Consultation Outside the Agency.pdf	Supplementary Document	Uploaded 2013-04-08	Available
Attachment 4. NPCR CSS Data Release Policy.zip	Supplementary Document	Uploaded 2013-04-18	Available
0920-0469 Reinstatement Part A 3-21-13.docx	Supporting Statement A	Uploaded 2013-04-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6900	National Program of Cancer Registries Cancer Surveillance System - Standard CSS Report	Form and Instruction	Modified
206684	National Program of Cancer Registries Cancer Surveillance System - Enhanced CSS Report	Form and Instruction	New

ICR Details

OMB Control No: 0920-0469	ICR Reference No: 201304-0920-016
Status: Historical Active	Previous ICR Reference No: 200911-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 19239
Title: National Program of Cancer Registries Cancer Surveillance System (NPCR CSS)
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 without change	Conclusion Date: 05/22/2013
	Date Received in OIRA: 04/25/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	36 Months From Approved
Responses	96	0	0
Time Burden (Hours)	192	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC's NPCR CSS collects cancer surveillance information from NPCR-funded states and territories regarding the types of cancer that occur (histology, morphology, and behavior), the anatomic location, the extent of disease at the time of diagnosis, the kinds of treatment received by cancer patients, and the outcomes of treatment and clinical management. Continued clearance for a three-year period is requested.

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Authorizing Statute(s): PL: Pub.L. 102 - 515 3312 Name of Law: Cancer Registries Amendment Act
   US Code: 42 USC 241 Name of Law: Public Health Service Act
   PL: Pub.L. 111 - 5 VII Name of Law: American Recovery and Reinvestment 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 73469	12/10/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 22884	04/17/2013
Did the Agency receive public comments on this ICR? No

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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
National Program of Cancer Registries Cancer Surveillance System - Standard CSS Report	0920-0469	Attachment 3a. Standard NPCR CSS Submission Specifications
National Program of Cancer Registries Cancer Surveillance System - Enhanced CSS Report	0920-0469	Attachment 3b. Enhanced NPCR CSS Submission Specifications

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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	96	0	0	96	0	0
Annual Time Burden (Hours)	192	0	0	192	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: There are no changes to the number of respondents or the estimated burden per response. The frequency of reporting will change from annual to semi-annual. The additional report will allow CDC to produce early estimates of cancer incidence and other statistics, in advance of the detailed data validation steps required for final reports. The estimated annualized burden will increase as a result of the increase in the frequency of data collection. This Reinstatement request divides the 48 respondents (central cancer registries) into two groups: a group of 38 respondents that will submit a standard report (Attachment 3a), and a group of 10 respondents that will submit an enhanced report which includes additional variables (Attachment 3b). However, since the data files are electronically created, there is no additional burden associated with including the additional variables in the electronic data file (report). The estimated burden per response is 2 hours and is the same for both groups of respondents.

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Annual Cost to Federal Government: $1,720,955

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)? 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: 04/25/2013

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