Colorectal Cancer Control Program (CRCCP) Monitoring Activities

Forms and Documents

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

IC Document Collections

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

ICR Details

OMB Control No: 0920-1074	ICR Reference No: 201705-0920-002
Status: Historical Active	Previous ICR Reference No: 201603-0920-012
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1074
Title: Colorectal Cancer Control Program (CRCCP) Monitoring Activities
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/25/2017
	Date Received in OIRA: 05/05/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	36 Months From Approved	06/30/2019
Responses	390	0	403
Time Burden (Hours)	204	0	209
Cost Burden (Dollars)	0	0	0

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Abstract: CDC requests approval the Colorectal Cancer Control Program (CRCCP). The goal of this information collection is to systematically collect information about the implementation and outcomes of the CRCCP. CDC will use resulting information to monitor the implementation of CRCCP activities and evaluate outcomes achieved across all grantees. CDC will conduct an annual grantee survey and collect clinic-level information from grantees' health system partners. CDC will use descriptive statistics to produce reports for CDC program management.

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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 96457	12/30/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 19376	04/27/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

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

	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

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: CDC proposes use of a revised survey instrument that eliminates data collection related to program implementation of EBIs and SAs as these are appropriately assessed at the clinic level. These changes reduce burden related to the survey among grantees from 24 to 12 hours. The revised clinic-level data collection instrument includes additional items related to implementation of the EBIs and SAs, as well as monitoring and evaluation, at the clinic level. These changes increase burden related to clinic-level data collection from 186 to 198 hours. The overall burden decreases from 201 to 204 burden hours.

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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: 05/05/2017

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