NCI Cancer Genetics Services Directory Web-Based Application and Update Mailer

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 Web-based Update Mailer	Form and Instruction	New	Available
Form 1 Web-based Application Form	Form and Instruction	New	Available
Form 2 Update Mailer	Form	Removed	Available
Form 1 Application for Inclusion in NCI Cancer Genetics Services Directory (PDQ?)	Form	Removed	Available
Attachment 5 Privacy Impact Assessment.xml	Supplementary Document	Uploaded 2014-07-30	Available
Attachment 4 Privacy Act Memo.pdf	Supplementary Document	Uploaded 2014-07-30	Available
Attachment 2 Inclusion Criteria.docx	Supplementary Document	Uploaded 2014-07-30	Available
Cover Memo CGDirectory 2014.doc	Supplementary Document	Uploaded 2014-07-30	Available
Attachment 6 Cancer Type Changes for Question 10.docx	Supplementary Document	Uploaded 2014-07-30	Available
SSA Cancer Genetics Directory Final.docx	Supporting Statement A	Uploaded 2014-09-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
212546	Web-based Update Mailer Attachment 3	Form and Instruction	New	Web-based Update Mailer
212545	Web-based Application Form	Form and Instruction	New	Web-based Application Form
198118	Update Mailer	Form	Removed	Update Mailer
198117	Application for Inclusion in NCI Cancer Genetics Services Directory (PDQ)(R)	Form	Removed	Application for Inclusion in NCI Cancer Genetics Services Directory (PDQ?)

ICR Details

OMB Control No: 0925-0639	ICR Reference No: 201407-0925-007
Status: Historical Active	Previous ICR Reference No: 201106-0925-003
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: NCI Cancer Genetics Services Directory Web-Based Application and Update Mailer
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: 10/06/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/19/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved	10/31/2014
Responses	660	0	660
Time Burden (Hours)	180	0	180
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Communications and Education International Cancer Research Databank Branch has created the NCI Cancer Genetics Services Directory on NCI's website Cancer.gov. This directory is a searchable collection of information about professionals who provide services related to cancer genetics. These services include cancer risk assessment, genetic counseling, and genetic susceptibility testing. The professionals have applied to be in the directory using an online application form and have met basic criteria outlined on the form. There are currently 587 genetics professionals listed in the directory. Approximately 30-60 new professionals are added to the directory each year. The applicants are nurses, physicians, genetic counselors, and other professionals who provide services related to cancer genetics. The information collected on the application form includes name, professional qualifications, practice locations, and the area of specialization. The information is updated annually using a Web-based update mailer that mirrors the application form. The NCI Cancer Genetics Services Directory is a unique resource for cancer patients and their families who are looking for information about their family risk of cancer and genetic counseling. Collecting applicant information and verifying it annually by using the NCI Cancer Genetics Services Directory Application Form and Web-based Update Mailer is important for providing this information to the public and for keeping it current.

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Authorizing Statute(s): US Code: 42 USC 412(285A-1) Name of Law: Public Health Service Act
   US Code: 42 USC 413(285A-2) 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:
	79 FR 26438	05/08/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 45200	08/04/2014
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
Application for Inclusion in NCI Cancer Genetics Services Directory (PDQ)(R)	1	Application for Inclusion in NCI Cancer Genetics Services Directory (PDQ?)
Update Mailer	2	Update Mailer
Web-based Application Form	1	Web-based Application Form
Web-based Update Mailer Attachment 3	2	Web-based Update Mailer

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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	660	660	0	0	0	0
Annual Time Burden (Hours)	180	180	0	0	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 from the original submission. One minor change is being proposed, Question 10 collects information about family cancer syndromes. This question has had four of the cancer types removed and 26 types of cancers added and can be found in "Question 10 Cancer Type Additions" (Attachment 6). This change was made to properly identify the cancer type information from the respondents

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Annual Cost to Federal Government: $208,470

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 08/19/2014

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