Information Collection Request

Colorectal Cancer Control Program (CRCCP) Monitoring Activities

ICR 201705-0920-002 · OMB 0920-1074 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CRCCP Clinic-level Information Collection Form Modified Available
CRCCP Annual Grantees Survey Form Modified Available
Att 5_CRCCP Data Collection Revision Matrix.docx Supplementary Document Uploaded 2017-05-01 Available
Att 6_60dy FRN Announcement.pdf Supplementary Document Uploaded 2017-05-01 Available
Att 2_CRCCP Logic Models.pdf Supplementary Document Uploaded 2017-05-01 Available
Attachment 1- Authorizing Legislation.pdf Supplementary Document Uploaded 2016-03-28 Available
SS Part B_CRCCP_2-22-17.docx Supporting Statement B Uploaded 2017-05-01 Available
SS Part A_CRCCP_2-22-17.docx Supporting Statement A Uploaded 2017-05-01 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
220791 CRCCP Clinic-level Information Collection Form Modified
217152 CRCCP Annual Grantees Survey Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2020 36 Months From Approved 06/30/2019
390 0 403
204 0 209
0 0 0





Reginfo record details
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

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 390 403 0 -13 0 0
Annual Time Burden (Hours) 204 209 0 -5 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No