Annual Survey of the National Breast and Cervical Cancer Early Detection Program Grantees' Program Implementation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Annual Survey of NBCCEDP Grantees' Program Implementation	Form	New	Available
Attachment K - Follow-Up Email 8.27.14.docx	Supplementary Document	Uploaded 2014-10-14	Available
Attachment J - Reminder Email 8.27.14.docx	Supplementary Document	Uploaded 2014-10-14	Available
Attachment I - Introductory Email 8.27.14.docx	Supplementary Document	Uploaded 2014-10-14	Available
Attachment H - Sample Management Report.pdf	Supplementary Document	Uploaded 2014-10-14	Available
Attachment G - Sample Grantee Report PY1.pdf	Supplementary Document	Uploaded 2014-10-14	Available
Attachment F - Crosswalk Question Tracking 2014.xlsx	Supplementary Document	Uploaded 2014-10-14	Available
Attachment E - 60-day FRN 11 07 2013.pdf	Supplementary Document	Uploaded 2014-10-14	Available
Attachment C - NBCCEDP Framework.pdf	Supplementary Document	Uploaded 2014-10-14	Available
Attachment B - About the NBCCEDP website.pdf	Supplementary Document	Uploaded 2014-10-14	Available
Attachment A - Authorizing Legislation.pdf	Supplementary Document	Uploaded 2014-10-14	Available
SS B_NBCCEDP 10 01 2014.docx	Supporting Statement B	Uploaded 2014-10-14	Available
SS A_NBCCEDP 10 01 2014.docx	Supporting Statement A	Uploaded 2014-10-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
213483	Annual Survey of NBCCEDP Grantees' Program Implementation	Form	New

ICR Details

OMB Control No: 0920-1046	ICR Reference No: 201410-0920-018
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 14BA
Title: Annual Survey of the National Breast and Cervical Cancer Early Detection Program Grantees' Program Implementation
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/26/2015
	Date Received in OIRA: 10/27/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2018	36 Months From Approved
Responses	67	0	0
Time Burden (Hours)	45	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Grantees funded through the National Breast and Cervical Cancer Early Detection Program are shifting from a focus on direct service provision to implementation of expanded evidence-based activities intended to increase rates of breast and cervical cancer screening at the population level. CDC plans to conduct an annual survey of NBCCEDP grantees to assess these efforts.

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Authorizing Statute(s): US Code: 42 USC 300k Name of Law: Breast and Cervical Cancer Mortality Prevention Act of 1990
  

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 66935	11/07/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 61870	10/15/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Annual Survey of NBCCEDP Grantees' Program Implementation	none	Annual Survey of NBCCEDP Grantees' Program Implementation

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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	67	0	0	67	0	0
Annual Time Burden (Hours)	45	0	0	45	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: This is a new ICR.

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Annual Cost to Federal Government: $47,642

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: 10/27/2014

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