Minimum Data Elements for the National Breast and Cervical Cancer Early Detection Program

Forms and Documents

Document	Type	Status	Availability
Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Early Detection Program	Form and Instruction	Modified	Available
Attachment 02b (Public Comments).pdf	Supplementary Document	Uploaded 2015-08-20	Available
Attachment 02a (60-day FRN).pdf	Supplementary Document	Uploaded 2015-08-20	Available
Attachment 11 (Supp Data and Privacy).docx	Supplementary Document	Uploaded 2015-08-20	Available
OMB 0920-0571 SS Part B_8 17 2015.doc	Supporting Statement B	Uploaded 2015-08-20	Available
OMB 0920-0571 SS Part A_8 17 2015.doc	Supporting Statement A	Uploaded 2015-08-20	Available
Attachment 10 (Data surveillance reports).pdf	Supplementary Document	Uploaded 2012-08-08	Available
Attachment 09 (Data Processing Flowchart).pdf	Supplementary Document	Uploaded 2012-08-08	Available
Attachment 08 (Estimated data reporting).pdf	Supplementary Document	Uploaded 2012-08-08	Available
Attachment 07 (Grantees map).pdf	Supplementary Document	Uploaded 2012-08-08	Available
Attachment 06 (Datasharing).pdf	Supplementary Document	Uploaded 2012-08-08	Available
Attachment 05 (CDC IRB approval notification).pdf	Supplementary Document	Uploaded 2012-08-08	Available
Attachment 04 (Outside Consults).pdf	Supplementary Document	Uploaded 2012-08-08	Available
Attachment 01a (PubLaw).pdf	Supplementary Document	Uploaded 2012-08-08	Available
Attachment 01b (301PHSA).pdf	Supplementary Document	Uploaded 2012-08-08	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
7025	Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Early Detection Program	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0571	ICR Reference No: 201508-0920-006
Status: Historical Active	Previous ICR Reference No: 201209-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Minimum Data Elements for the National Breast and Cervical Cancer Early Detection Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/15/2015
	Date Received in OIRA: 08/28/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved	12/31/2015
Responses	134	0	134
Time Burden (Hours)	536	0	536
Cost Burden (Dollars)	0	0	0

---

Abstract: The CDC-funded National Breast and Cervical Cancer Early Detection Program (NBCCEDP) is the largest organized cancer screening program in the United States, providing critical breast and cervical cancer screening services to underserved women. CDC proposes to continue the collection of performance indicator information from NBCCEDP grantees. The information supports program planning, evaluation, and research.

---

Authorizing Statute(s): PL: Pub.L. 101 - 354 300k Name of Law: The Breast and Cervical Cancer Mortality Prevention Act of 1990
   US Code: 42 USC 241 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:
	80 FR 36539	06/25/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 52045	08/27/2015
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Early Detection Program	none, none	MDE Data Items and Definitions Required for Reporting ,   Web-based Portal Screenshot for MDE Submission

---

ICR Summary 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	134	134	0	0	0	0
Annual Time Burden (Hours)	536	536	0	0	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: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $939,418

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: 08/28/2015

---