Colorectal Cancer Control Program (CRCCP) Monitoring Activities

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CRCCP Clinic-level Information Collection	Form	New	Available
CRCCP Annual Grantees Survey	Form	Modified	Available
Attachment 5- FRN 1 20 2016.pdf	Supplementary Document	Uploaded 2016-03-28	Available
Attachment 2- CRCCP Logic Models.pdf	Supplementary Document	Uploaded 2016-03-28	Available
Attachment 1- Authorizing Legislation.pdf	Supplementary Document	Uploaded 2016-03-28	Available
SS Part B_CRCCP_3 14 2016.docx	Supporting Statement B	Uploaded 2016-03-28	Available
SS Part A_CRCCP_3 24 2016.docx	Supporting Statement A	Uploaded 2016-03-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
220791	CRCCP Clinic-level Information Collection	Form	New
217152	CRCCP Annual Grantees Survey	Form	Modified

ICR Details

OMB Control No: 0920-1074	ICR Reference No: 201603-0920-012
Status: Historical Active	Previous ICR Reference No: 201503-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Colorectal Cancer Control Program (CRCCP) Monitoring Activities
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/24/2016
	Date Received in OIRA: 04/01/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	36 Months From Approved
Responses	403	0	0
Time Burden (Hours)	209	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC requests approval to reinstate information collection from awardees funded through the Colorectal Cancer Control Program (CRCCP). The annual grantee survey has been revised to reflect changes in program focus under a new cooperative agreement. A new clinic-level information collection plan has been added to support assessment of a primary outcome of interest, changes in CRC screening rates within partner health systems.

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Authorizing Statute(s): PL: Pub.L. 101 - 354 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:
	81 FR 3139	01/20/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 18631	03/31/2016
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
CRCCP Annual Grantees Survey	none	CRCCP Grantee Survey
CRCCP Clinic-level Information Collection	none	CRCCP Clinic-level Collection

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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	403	0	0	403	0	0
Annual Time Burden (Hours)	209	0	0	209	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: The number of awardees has increased from 29 to 31 and a clinic-level information collection has been added.

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Annual Cost to Federal Government: $165,209

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

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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: 04/01/2016

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