Awareness and Beliefs About Cancer (ABC) Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 Awarness and Beliefs About Cancer (ABC) Study Survey (Attachment 3)	Form	Modified	Available
Form 1 ABC Screener (Attachment 2)	Form and Instruction	Modified	Available
Attach8_Privacy Act Memo.pdf	Supplementary Document	Uploaded 2014-05-01	Available
Attach6_Individuals consulted.docx	Supplementary Document	Uploaded 2014-05-01	Available
Attach4_PIA_ABC Survey_REV.pdf	Supplementary Document	Uploaded 2014-05-01	Available
Attach1_Background&References.doc	Supplementary Document	Uploaded 2014-05-01	Available
Attach7_Ethics-IRB Approval_4-15-2014.pdf	Supplementary Document	Uploaded 2014-05-01	Available
ABC Cover Memo_4-15-2014.docx	Supplementary Document	Uploaded 2014-05-01	Available
SSB_ABC_4_16-14sk.docx	Supporting Statement B	Uploaded 2014-05-01	Available
0925-0684 SSA ABC 6 27 2014 Passback.docx	Supporting Statement A	Uploaded 2014-06-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
208640	Awarness and Beliefs About Cancer (ABC) Study Survey (Attachment 3)	Form	Modified
208639	ABC Screener (Attachment 2)	Form and Instruction	Modified

ICR Details

OMB Control No: 0925-0684	ICR Reference No: 201405-0925-002
Status: Historical Active	Previous ICR Reference No: 201309-0925-002
Agency/Subagency: HHS/NIH	Agency Tracking No: 20347
Title: Awareness and Beliefs About Cancer (ABC) Survey
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/03/2014
	Date Received in OIRA: 05/13/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2015	12 Months From Approved	11/30/2014
Responses	15,500	0	10,000
Time Burden (Hours)	1,667	0	1,334
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request for a revision of the, "Awareness and Beliefs about Cancer (ABC) Survey." The objective of the proposed study is gather data about American adults' awareness and beliefs about cancer. The ultimate goal is to determine how individuals' perceptions of cancer may influence their decisions to report signs and symptoms to health care providers, perhaps affecting the disease stage of diagnosis and the effectiveness of treatment. This project also offers an opportunity to compare data from the United States to international data. Culturally and language-adapted versions of this instrument have been administered in eight other countries. Data may inform theory-based, multilevel behavioral interventions that promote symptom reporting and early diagnosis of cancer. The survey instrument incorporates factors such as demographic variables, beliefs, and perception of access to health care in the context of decision making. The project asks specific questions about screening and care seeking behaviors that will inform understanding of preferences for participation in health care decisions and will generate insights to improve cancer survival. A representative sample (approximately 1,500 respondents) of the population aged 50+ will be surveyed using a standardized measure of cancer awareness and beliefs. This request is to include cellphone-only households in the ABC survey; the original request was to survey only landline households.

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Authorizing Statute(s): US Code: 42 USC 285a-2 Name of Law: Public Health Service Act
   US Code: 42 USC 285 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:
	78 FR 36788	01/19/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 26436	05/08/2014
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
ABC Screener (Attachment 2)	1	ABC Screener
Awarness and Beliefs About Cancer (ABC) Study Survey (Attachment 3)	2	ABC 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	15,500	10,000	0	5,500	0	0
Annual Time Burden (Hours)	1,667	1,334	0	333	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a revision due to program change which is the result of action by NCI. This revision expands the methodology to include cellphone-only households in the ABC survey so as to gain a representative sample. This is in addition to the already approved landline households. To date, no information collection has begun because it is important to collect both the landline and cellphone-only household data at the same time. Concurrent data collection helps to maintain comparability of the landline and cellphone data, increasing the likelihood that the two groups can be combined in one larger, data set. Additionally, due to budget constraints a slightly smaller sample is being proposed thus maintaining the same costs to the government as the original submission. Although the number of participants would decrease by 500, the total estimate of burden hours would increase. This increase reflects the need to contact and screen more people to reach cell phone-only participants. This is a request for 1,667 hours, which is an increase of 333 hours from the previous approval (a total of 1,334 burden hours).

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Annual Cost to Federal Government: $360,000

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: 05/13/2014

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