Generic Submission for Formative Research, Pre-testing, Stakeholder Measures and Advocate Forms at NCI

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SSA 0925-0641.docx	Supporting Statement A	Uploaded 2014-09-29	Available
Attachment 5 OHSRP Exclusion.pdf	Supplementary Document	Uploaded 2014-09-29	Available
Attachment 4 PIA.xml	Supplementary Document	Uploaded 2014-09-29	Available
Attach 3 Privacy Act Memo.pdf	Supplementary Document	Uploaded 2014-09-29	Available
Attach 2 Advocates Research Working Group (ARWG) Members.pdf	Supplementary Document	Uploaded 2014-09-29	Available
Attach 1 Benefits of Advocacy in Research.doc	Supplementary Document	Uploaded 2014-09-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form

ICR Details

OMB Control No: 0925-0641	ICR Reference No: 201409-0925-008
Status: Historical Active	Previous ICR Reference No: 201106-0925-002
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Generic Submission for Formative Research, Pre-testing, Stakeholder Measures and Advocate Forms at NCI
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/23/2014
	Date Received in OIRA: 09/29/2014
Terms of Clearance: This generic ICR is approved consistent with NIH agreement to submit individual colletions to OMB as they are implemented, along with all necessary supporting statements (to include information about research design and analysis, incentives, burden estimates, approaches to address non-response bias, etc). OMB will aim to review each IC submission within 14 days; however, OMB approval should not be assumed if not explicitly granted, even if 14 days have elapsed since submission. Approval for this generic ICR should not be construed as approval for this particular IC.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2017	36 Months From Approved	12/31/2014
Responses	2,925	0	5,925
Time Burden (Hours)	3,075	0	3,675
Cost Burden (Dollars)	0	0	0

---

Abstract: This is a request for OMB to approve this generic submission package on behalf of the NCI Office of Advocacy Relations (OAR). In addition to collecting information for research and customer service, OAR will request information from advocates in order to match them appropriately to NCI activities based on their interest and experience. Approval is requested for the conduct of multiple studies annually using such methods as interviews, focus groups, and various types of surveys.

---

Authorizing Statute(s): US Code: 42 USC 285a-1 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 42023	07/18/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 58363	09/28/2014
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 0

---

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	2,925	5,925	0	-3,000	0	0
Annual Time Burden (Hours)	3,075	3,675	0	-600	0	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: This is a revision. This submission has been active over the past couple of years and anticipates a continued activity at the current level. Since less of the previously requested burden hours were used over the course of the past three years, the program is asking for a slight reduction in burden hours. Additionally, over the last two years, OAR has phased out the CARRA program. OAR still maintains and utilizes its robust network of research advocates (including former CARRA members) and plans to broaden the pool by including research advocates with varying levels of experience to best match NCI's activity requests as they arise. The end of the CARRA programs meant many functions of the database are no longer necessary. Due to budgetary restrictions, OAR will not offer any type of incentives or gifts. In addition, statistical analysis will no longer be performed because of the slimmed down advocate matching process.

---

Annual Cost to Federal Government: $160,155

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

---

Common Form ICR:  No

---

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: 09/29/2014

---