Formative Research, Pretesting, and Customer Satisfaction of NCI's Communication and Education Resources (NCI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Attachment 2 BIG CAT Program Study Questionnaire	Form and Instruction	New	Available
Form 6 Attachment G Interview Protocol-Grant Reviewer	Form and Instruction	New	Available
Form 5 Attachment F Interview/Protocol-Workshop Participants	Form and Instruction	New	Available
Form 4 Attachment D Unfunded Applicants Survey Screenshot	Form and Instruction	New	Available
Form 3 Attachment C Unfunded Applicants Survey Consent Form	Form and Instruction	New	Available
Form 2 Attachment B Funded Applicants Survey Screen Shots	Form and Instruction	New	Available
Form 1 Attachment A Funded Applicants Survey Consent Form	Form and Instruction	New	Available
Form 4 Contributor Survey	Form and Instruction	New	Available
Form 3 Application Survey	Form and Instruction	New	Available
Form 2 Recommendation Letter	Form and Instruction	New	Available
Form 1 Application Screenshot	Form and Instruction	New	Available
Form 8 Attachment 6 Usability Testing Spanish	Form and Instruction	New	Available
Form 7 Attachment 5 Usability Testing	Form and Instruction	New	Available
Form 6 Attachment 8 Informed Consent Form Spanish	Form and Instruction	New	Available
Form 5 Attachment 7 Informed Consent Form English	Form and Instruction	New	Available
Form 4 Attachment 4 Screener Healthcare Professionals Spanish	Form and Instruction	New	Available
Form 3 Attadchment 2 Screener Healthcare Professionals English	Form and Instruction	New	Available
Form 2 Attachment 3 Screener Lay Consumers Spanish	Form and Instruction	New	Available
Form 1 Attachment 1 Screener Lay Consumers English	Form and Instruction	New	Available
Form 2 Research Staff Survey (ETCTN)	Form and Instruction	New	Available
Form 1 PI Survey (ETCTN)	Form and Instruction	New	Available
Form 2 Telephone Interview Guide	Form and Instruction	New	Available
Form 1 Informed Consent	Form	New	Available
Form 7 Screenshots of Postdoctoral Scientist Post-Exit Survey	Form and Instruction	New	Available
Form 5 Screenshots of Postdoctoral Scientist Entrance Survey	Form and Instruction	New	Available
Form 4 Screenshots of Graduate Student Post-Exit Survey	Form and Instruction	New	Available
Form 3 Screenshots of Graduate Student Exit Survey	Form and Instruction	New	Available
Form 2 Screenshots of Graduate Student Interim Survey	Form and Instruction	New	Available
Form 1 Screenshots of Graduate Student Entrance Survey	Form and Instruction	New	Available
Form 6 Screenshots of Postdoctoral Scientist Exit Survey	Form and Instruction	New	Available
Form 2 Consent Form	Form	New	Available
Form 1 Interview Guide	Form	New	Available
Form 2 Reviewer Survey Screenshots	Form and Instruction	New	Available
Form 1 Applicant Survey Screenshots	Form and Instruction	New	Available
Form 4 Final Survey	Form and Instruction	New	Available
Form 3 Initial Survey	Form and Instruction	New	Available
Form 2 Screener	Form and Instruction	New	Available
Form 1 Consent	Form and Instruction	New	Available
Form 1 Interview Guide	Form and Instruction	New	Available
Form 1 CIS Survey	Form and Instruction	New	Available
Form 1 CR Nurse Survey	Form and Instruction	New	Available
SSB_GenericOCE_4-8_13.doc	Supporting Statement B	Uploaded 2013-04-08	Available
Attach5_OHSRP_Form.doc	Supplementary Document	Uploaded 2013-03-08	Available
Attach4_Privacy Act Memo.pdf	Supplementary Document	Uploaded 2013-03-08	Available
Attach3_PIA_fy12.pdf	Supplementary Document	Uploaded 2013-03-08	Available
Attach2_ApprovalsandMethods_2012-11-20.pdf	Supplementary Document	Uploaded 2013-03-08	Available
Attach1_Types of research_10-15-12.doc	Supplementary Document	Uploaded 2013-03-08	Available
Cover Memo_4-8-13.docx	Supplementary Document	Uploaded 2013-04-08	Available
CIS_#2_Attach C_OHSRP_Review_11860_CY2013.pdf	Supplementary Document	Uploaded 2013-03-28	Available
CIS_#2_Attach A Verbal Consent-Sampling Script_32113.doc	Supplementary Document	Uploaded 2013-03-28	Available
CIS_#2_Justif Memo_3-22-2013.docx	Supplementary Document	Uploaded 2013-03-28	Available
#1_JustifMemo_CRNursing Survey_mg rev.docx	Supplementary Document	Uploaded 2013-03-28	Available
#1_Attach2_OHSRP Review_CRNurse.pdf	Supplementary Document	Uploaded 2013-03-28	Available
SSA_GenericOCE_4-8-13.docx	Supporting Statement A	Uploaded 2013-04-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
220179	Study of Beginning Investigator Grants for Catalyzing Research (BIG CAT) Program	Form and Instruction	New	Attachment 2 BIG CAT Program Study Questionnaire
219843	Assessing Progress Toward the Goals of the National Cancer Institute's Provocative Questions Initiative	Form and Instruction	New	Attachment G Interview Protocol-Grant Reviewer
219843	Assessing Progress Toward the Goals of the National Cancer Institute's Provocative Questions Initiative	Form and Instruction	New	Attachment F Interview/Protocol-Workshop Participants
219843	Assessing Progress Toward the Goals of the National Cancer Institute's Provocative Questions Initiative	Form and Instruction	New	Attachment D Unfunded Applicants Survey Screenshot
219843	Assessing Progress Toward the Goals of the National Cancer Institute's Provocative Questions Initiative	Form and Instruction	New	Attachment C Unfunded Applicants Survey Consent Form
219843	Assessing Progress Toward the Goals of the National Cancer Institute's Provocative Questions Initiative	Form and Instruction	New	Attachment B Funded Applicants Survey Screen Shots
219843	Assessing Progress Toward the Goals of the National Cancer Institute's Provocative Questions Initiative	Form and Instruction	New	Attachment A Funded Applicants Survey Consent Form
219767	NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)	Form and Instruction	New	Contributor Survey
219767	NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)	Form and Instruction	New	Application Survey
219767	NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)	Form and Instruction	New	Recommendation Letter
219767	NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)	Form and Instruction	New	Application Screenshot
217694	Open Call Usability Testing (NCI)	Form and Instruction	New	Attachment 6 Usability Testing Spanish
217694	Open Call Usability Testing (NCI)	Form and Instruction	New	Attachment 5 Usability Testing
217694	Open Call Usability Testing (NCI)	Form and Instruction	New	Attachment 8 Informed Consent Form Spanish
217694	Open Call Usability Testing (NCI)	Form and Instruction	New	Attachment 7 Informed Consent Form English
217694	Open Call Usability Testing (NCI)	Form and Instruction	New	Attachment 4 Screener Healthcare Professionals Spanish
217694	Open Call Usability Testing (NCI)	Form and Instruction	New	Attadchment 2 Screener Healthcare Professionals English
217694	Open Call Usability Testing (NCI)	Form and Instruction	New	Attachment 3 Screener Lay Consumers Spanish
217694	Open Call Usability Testing (NCI)	Form and Instruction	New	Attachment 1 Screener Lay Consumers English
214726	Customer Satisfaction Surveys of Participants in the New National Cancer Institute's Experimental Therapeutics Clinical Trials Network (ETCTN)	Form and Instruction	New	Research Staff Survey (ETCTN)
214726	Customer Satisfaction Surveys of Participants in the New National Cancer Institute's Experimental Therapeutics Clinical Trials Network (ETCTN)	Form and Instruction	New	PI Survey (ETCTN)
213642	Survey of the Training Landscape for Cancer Epidemiology	Form and Instruction	New	Telephone Interview Guide
213642	Survey of the Training Landscape for Cancer Epidemiology	Form	New	Informed Consent
213641	Pretest of Surveys for the Broadening Experiences in Scientific Training (BEST) Program	Instruction	New
213641	Pretest of Surveys for the Broadening Experiences in Scientific Training (BEST) Program	Form and Instruction	New	Screenshots of Postdoctoral Scientist Post-Exit Survey
213641	Pretest of Surveys for the Broadening Experiences in Scientific Training (BEST) Program	Form and Instruction	New	Screenshots of Postdoctoral Scientist Entrance Survey
213641	Pretest of Surveys for the Broadening Experiences in Scientific Training (BEST) Program	Form and Instruction	New	Screenshots of Graduate Student Post-Exit Survey
213641	Pretest of Surveys for the Broadening Experiences in Scientific Training (BEST) Program	Form and Instruction	New	Screenshots of Graduate Student Exit Survey
213641	Pretest of Surveys for the Broadening Experiences in Scientific Training (BEST) Program	Form and Instruction	New	Screenshots of Graduate Student Interim Survey
213641	Pretest of Surveys for the Broadening Experiences in Scientific Training (BEST) Program	Form and Instruction	New	Screenshots of Graduate Student Entrance Survey
213641	Pretest of Surveys for the Broadening Experiences in Scientific Training (BEST) Program	Form and Instruction	New	Screenshots of Postdoctoral Scientist Exit Survey
211462	Customer Feedback of the National Cancer Institute's Mouse Models of Human Cancers Consortium (NCI-MMHCC) Program	Form	New	Consent Form
211462	Customer Feedback of the National Cancer Institute's Mouse Models of Human Cancers Consortium (NCI-MMHCC) Program	Form	New	Interview Guide
211458	Pilot Test Proposed Revisions to the NIH Biosketch	Form and Instruction	New	Reviewer Survey Screenshots
211458	Pilot Test Proposed Revisions to the NIH Biosketch	Form and Instruction	New	Applicant Survey Screenshots
210671	Sub-study #4_REVISED Smokefree Women Customer Satisfaction Study	Form and Instruction	New	Final Survey
210671	Sub-study #4_REVISED Smokefree Women Customer Satisfaction Study	Form and Instruction	New	Initial Survey
210671	Sub-study #4_REVISED Smokefree Women Customer Satisfaction Study	Form and Instruction	New	Screener
210671	Sub-study #4_REVISED Smokefree Women Customer Satisfaction Study	Form and Instruction	New	Consent
208861	Sub-study #3_Playing for Life: Reducing the Negative Impact of Tobacco on Youth and Young Adults through Video Games, Gaming, and Gamification	Form and Instruction	New	Interview Guide
206587	Sub-study #2_Assessing Cancer Information Service (CIS) Clients Actions After Receiving Clinical Trial Information	Form and Instruction	New	CIS Survey
206586	Sub-study #1_Assessing Baccalaureate Nursing Students' Feedback on Clinical Research Class and Intentions to Pursue Further Education or Training	Form and Instruction	New	CR Nurse Survey

ICR Details

OMB Control No: 0925-0046	ICR Reference No: 201304-0925-003
Status: Historical Active	Previous ICR Reference No: 201008-0925-004
Agency/Subagency: HHS/NIH	Agency Tracking No: 19122
Title: Formative Research, Pretesting, and Customer Satisfaction of NCI's Communication and Education Resources (NCI)
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
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/19/2013
Terms of Clearance: NIH will submit individual collections under this generic clearance to OMB. OMB will strive to provide feedback on the individual collections within ten working days, whenever possible. Standard incentive amount is remuneration is $40.00; requests for higher levels must be justified (e.g., very difficult recruitments), two-hour focus groups, etc.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	36 Months From Approved
Responses	33,000	0	0
Time Burden (Hours)	6,600	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: To help ensure that health messages, materials, strategies, and information services developed by NCI's Office of Communications (OC) have the potential of being received, understood, and accepted by their target audiences, OC will pretest them while they are under development. Respondents include cancer patients and their families, members of the public, health professionals, and organizations/groups that interface with these publics.

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Authorizing Statute(s): US Code: 42 USC 285a-2 Name of Law: NCI's education and information dissemination activities
  

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:
	78 FR 105	01/02/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 20329	04/04/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 13

table that charts list of burden

IC Title	Form No.	Form Name
Assessing Progress Toward the Goals of the National Cancer Institute's Provocative Questions Initiative	2, 1, 3, 4, 5, 6	Attachment A Funded Applicants Survey Consent Form ,   Attachment B Funded Applicants Survey Screen Shots ,   Attachment C Unfunded Applicants Survey Consent Form ,   Attachment D Unfunded Applicants Survey Screenshot ,   Attachment F Interview/Protocol-Workshop Participants ,   Attachment G Interview Protocol-Grant Reviewer
Customer Feedback of the National Cancer Institute's Mouse Models of Human Cancers Consortium (NCI-MMHCC) Program	1, 2	Interview Guide ,   Consent Form
Customer Satisfaction Surveys of Participants in the New National Cancer Institute's Experimental Therapeutics Clinical Trials Network (ETCTN)	1, 2	PI Survey (ETCTN) ,   Research Staff Survey (ETCTN)
NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)	1, 4, 2, 3	Application Screenshot ,   Recommendation Letter ,   Application Survey ,   Contributor Survey
Open Call Usability Testing (NCI)	2, 3, 4, 5, 6, 7, 8, 1	Attachment 1 Screener Lay Consumers English ,   Attachment 3 Screener Lay Consumers Spanish ,   Attadchment 2 Screener Healthcare Professionals English ,   Attachment 4 Screener Healthcare Professionals Spanish ,   Attachment 7 Informed Consent Form English ,   Attachment 8 Informed Consent Form Spanish ,   Attachment 5 Usability Testing ,   Attachment 6 Usability Testing Spanish
Pilot Test Proposed Revisions to the NIH Biosketch	1, 2	Applicant Survey Screenshots ,   Reviewer Survey Screenshots
Pretest of Surveys for the Broadening Experiences in Scientific Training (BEST) Program	5, 1, 4, 2, 3, 6, 7	Screenshots of Graduate Student Entrance Survey ,   Screenshots of Graduate Student Interim Survey ,   Screenshots of Graduate Student Exit Survey ,   Screenshots of Graduate Student Post-Exit Survey ,   Screenshots of Postdoctoral Scientist Entrance Survey ,   Screenshots of Postdoctoral Scientist Exit Survey ,   Screenshots of Postdoctoral Scientist Post-Exit Survey
Study of Beginning Investigator Grants for Catalyzing Research (BIG CAT) Program	1	Attachment 2 BIG CAT Program Study Questionnaire
Sub-study #1_Assessing Baccalaureate Nursing Students' Feedback on Clinical Research Class and Intentions to Pursue Further Education or Training	1	CR Nurse Survey
Sub-study #2_Assessing Cancer Information Service (CIS) Clients Actions After Receiving Clinical Trial Information	1	CIS Survey
Sub-study #3_Playing for Life: Reducing the Negative Impact of Tobacco on Youth and Young Adults through Video Games, Gaming, and Gamification	1	Interview Guide
Sub-study #4_REVISED Smokefree Women Customer Satisfaction Study	1, 2, 3, 4	Consent ,   Screener ,   Initial Survey ,   Final Survey
Survey of the Training Landscape for Cancer Epidemiology	1, 2	Informed Consent ,   Telephone Interview Guide

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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	33,000	0	0	0	33,000	0
Annual Time Burden (Hours)	6,600	0	0	0	6,600	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This information collection request is considered a reinstatement with change. The only change is a request for a decrease in burden. The purpose, use, methodology and design all remain the same as what has been submitted and approved previously. This Generic submission has been very active over the past couple of years and anticipates a continued activity at the current level. Since less than half of the previously requested burden hours was used over the course of the past three years, the program is asking for a slight reduction in burden hours. Additionally, with the approval of the NCI Fast Track submission (OMB No. 0925-0642), it is anticipated that some of the submissions that would have been a sub-study under this Generic, will now seek approval under the Fast Track. Another factor that should be considered is a reduction in the budget, thus reducing the number of anticipated sub-studies over the next three years.

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Annual Cost to Federal Government: $92,740

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: 04/19/2013

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