The Study of the Center for Global Health's (CGH) Workshops

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 14 Regional Grant Writing Workshop	Form and Instruction	New	Available
Form 13 Regional Grant Writing Workshop	Form and Instruction	New	Repair queued
Form 12 Women's Cancer Program Summit (Spanish)	Form and Instruction	New	Available
Form 11 Women's Cancer Program Summit (English)	Form and Instruction	New	Available
Form 10 Women's Cancer Program Summit (Spanish)	Form and Instruction	New	Available
Form 9 Women's Cancer Program Summit	Form and Instruction	New	Available
Form 8 Summer Curriculum in Cancer Prevention	Form and Instruction	New	Available
Form 7 Summer Curriculum in Cancer Prevention	Form and Instruction	New	Available
Form 6 Workshop in Cancer Control Planning and Implementation (MOH)	Form and Instruction	New	Available
Form 5 Workshop in Cancer Control Planning and Implementation (MOH)	Form and Instruction	New	Repair queued
Form 4 Workshop in Cancer Control Planning and Implementation (NMOH) Phase 2	Form and Instruction	New	Available
Form 3 Workshop in Cancer Control Planning and Implementation (NMOH)	Form and Instruction	New	Available
Form 2 Symposium on Global Cancer Research Phase 2	Form and Instruction	New	Repair queued
Form 1 Symposium on Global Cancer Research Phase 1	Form and Instruction	New	Available
2_Study of Center for Global Health's Workshops Working Group Members.docx	Supplementary Document	Uploaded 2015-04-27	Available
1_Workshop Descriptions.doc	Supplementary Document	Uploaded 2015-04-27	Available
Attachment 8_Question Bank for Future Surveys.docx	Supplementary Document	Uploaded 2015-04-27	Available
7F_Regional Grant Writing and Peer Review Workshop Invitation.doc	Supplementary Document	Uploaded 2015-04-27	Available
7E_ Women’s Cancer Program Summit Invitation (Spanish).doc	Supplementary Document	Uploaded 2015-04-27	Available
7D_Women’s Cancer Program Summit Invitation (English).docx	Supplementary Document	Uploaded 2015-04-27	Repair queued
7C_Summer Curriculum in Cancer Prevention Invitation.doc	Supplementary Document	Uploaded 2015-04-27	Available
7B_Workshop in Cancer Control Planning and Implementation Invitations.docx	Supplementary Document	Uploaded 2015-04-27	Available
7A_Symposium on Global Cancer Research Invitation.docx	Supplementary Document	Uploaded 2015-04-27	Available
6_Office of Human Subjects Research Protection Exemption (OHSRP).pdf	Supplementary Document	Uploaded 2015-04-27	Available
5_Privacy Act Memo.pdf	Supplementary Document	Uploaded 2015-04-27	Available
SSB The Study of Center for Global Health's Workshops.docx	Supporting Statement B	Uploaded 2015-04-27	Available
SSA The Study of Center for Global Health's Workshops.docx	Supporting Statement A	Uploaded 2015-04-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
216329	Phase 2 Regional Grant Writing and Peer Review Workshop	Form and Instruction	New	Regional Grant Writing Workshop
216328	Phase 1 Regional Grant Writing and Peer Review Workshop	Form and Instruction	New	Regional Grant Writing Workshop
216327	Phase 2 Women's Cancer Program Summit	Form and Instruction	New	Women's Cancer Program Summit (Spanish)
216327	Phase 2 Women's Cancer Program Summit	Form and Instruction	New	Women's Cancer Program Summit (English)
216326	Phase 1 Women's Cancer Program Summit	Form and Instruction	New	Women's Cancer Program Summit (Spanish)
216326	Phase 1 Women's Cancer Program Summit	Form and Instruction	New	Women's Cancer Program Summit
216325	Phase 2 Summer Curriculum in Cancer Prevention	Form and Instruction	New	Summer Curriculum in Cancer Prevention
216324	Phase 1 Summer Curriculum in Cancer Prevention	Form and Instruction	New	Summer Curriculum in Cancer Prevention
216323	Workshop in Cancer Control Planning and Implementation for Ministry of Health participants Phase 2	Form and Instruction	New	Workshop in Cancer Control Planning and Implementation (MOH)
216322	Workshop in Cancer Control Planning and Implementation for Ministry of Health participants Phase 1	Form and Instruction	New	Workshop in Cancer Control Planning and Implementation (MOH)
216321	Workshop in Cancer Control Planning and Implementation for non-Ministry of Health participants Phase 2	Form and Instruction	New	Workshop in Cancer Control Planning and Implementation (NMOH) Phase 2
216320	Workshop in Cancer Control Planning and Implementation for non-Ministry of Health participants Phase 1	Form and Instruction	New	Workshop in Cancer Control Planning and Implementation (NMOH)
216318	Symposium on Global Cancer Research Phase 2	Form and Instruction	New	Symposium on Global Cancer Research Phase 2
216317	Symposium on global Cancer Research Phase 1	Form and Instruction	New	Symposium on Global Cancer Research Phase 1

ICR Details

OMB Control No: 0925-0722	ICR Reference No: 201504-0925-007
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: The Study of the Center for Global Health's (CGH) Workshops
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: 06/22/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/07/2015
Terms of Clearance: Modifications to survey instruments or new surveys (including modifications or new instruments derived from the included question bank) must be submitted for review and approval via a non-substantive change request prior to fielding of those instruments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2018	36 Months From Approved
Responses	2,047	0	0
Time Burden (Hours)	805	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This is a new information collection request for the Study of the Center for Global Health's (CGH) Workshops for three years. This information collection is to collect stakeholder feedback from past workshops and future workshops, to assess the effectiveness of CGH workshops, which seek to assess the abilities of other countries to implement national cancer control programs, inform content and improve delivery of future workshops, and to systematically assess CGH's contribution.

---

Authorizing Statute(s): US Code: 42 USC 285 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 26437	05/08/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 25704	05/05/2015
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
Phase 1 Regional Grant Writing and Peer Review Workshop	13	Regional Grant Writing Workshop
Phase 1 Summer Curriculum in Cancer Prevention	7	Summer Curriculum in Cancer Prevention
Phase 1 Women's Cancer Program Summit	10, 9	Women's Cancer Program Summit ,   Women's Cancer Program Summit (Spanish)
Phase 2 Regional Grant Writing and Peer Review Workshop	14	Regional Grant Writing Workshop
Phase 2 Summer Curriculum in Cancer Prevention	8	Summer Curriculum in Cancer Prevention
Phase 2 Women's Cancer Program Summit	11, 12	Women's Cancer Program Summit (English) ,   Women's Cancer Program Summit (Spanish)
Symposium on Global Cancer Research Phase 2	2	Symposium on Global Cancer Research Phase 2
Symposium on global Cancer Research Phase 1	1	Symposium on Global Cancer Research Phase 1
Workshop in Cancer Control Planning and Implementation for Ministry of Health participants Phase 1	5	Workshop in Cancer Control Planning and Implementation (MOH)
Workshop in Cancer Control Planning and Implementation for Ministry of Health participants Phase 2	6	Workshop in Cancer Control Planning and Implementation (MOH)
Workshop in Cancer Control Planning and Implementation for non-Ministry of Health participants Phase 1	3	Workshop in Cancer Control Planning and Implementation (NMOH)
Workshop in Cancer Control Planning and Implementation for non-Ministry of Health participants Phase 2	4	Workshop in Cancer Control Planning and Implementation (NMOH) Phase 2

---

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	2,047	0	0	2,047	0	0
Annual Time Burden (Hours)	805	0	0	805	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: new collection

---

Annual Cost to Federal Government: $92,414

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

---

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: 05/07/2015

---