National Program of Cancer Registries Program Evaluation Instrument

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CDC.0920-0706 NPCR - Program Evaluation Instrument (NPCR-PEI) (Online)	Form	Modified	Available
Form CDC.0920-0706 NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper)	Form	New	Available
Att 8_0706_IRB Determination.docx.pdf	Supplementary Document	Uploaded 2017-11-30	Available
SS-B_083117.docx	Supporting Statement B	Uploaded 2017-11-30	Available
Att 7_Volunteer Awardees.doc	Supplementary Document	Uploaded 2017-11-30	Available
Att 6_NPCR Program Evaluation Results_2015.docx	Supplementary Document	Uploaded 2017-11-30	Available
Att 5_NPCR Program Standards 2017-2022.docx	Supplementary Document	Uploaded 2017-11-30	Available
Att 4_List of NPCR Funded Awardees_updated March 2017.docx	Supplementary Document	Uploaded 2017-11-30	Available
Att 2_0706_60D FRN.pdf	Supplementary Document	Uploaded 2017-11-30	Available
Att 1B_Section 301 of the Public Health Service Act.pdf	Supplementary Document	Uploaded 2017-11-30	Available
Att 1A_Cancer Registries Amendment Act - Public Law 102-515.pdf	Supplementary Document	Uploaded 2017-11-30	Available
SS-A_121417.doc	Supporting Statement A	Uploaded 2017-12-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
37809	NPCR - Program Evaluation Instrument (NPCR-PEI) (Online)	Form	Modified
229225	NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper)	Form	New

ICR Details

OMB Control No: 0920-0706	ICR Reference No: 201711-0920-018
Status: Active	Previous ICR Reference No: 201304-0920-015
Agency/Subagency: HHS/CDC	Agency Tracking No: 19285
Title: National Program of Cancer Registries Program Evaluation Instrument
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: 02/02/2018
	Date Received in OIRA: 12/15/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved
Responses	33	0	0
Time Burden (Hours)	66	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This Reinstatement with Change of a previously approved collection request is to reinstate the NPCR-PEI process and update the survey instrument based on feedback from stakeholders and revisions to NPCR Program Standards. The anticipated changes in NPCR program standards, changes in the PEI content and a slight increase in the number of NPCR awardees from 48 to 50. The estimated burden for completing the PEI will remain at 2 hours per response, resulting in an overall increase in burden to respondents. The information will be collected on an biennial schedule in odd-numbered years.

---

Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
   PL: Pub.L. 102 - 515 3312 Name of Law: Cancer Registries Amendment 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:
	82 FR 1339	01/05/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 58611	12/13/2017
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
NPCR - Program Evaluation Instrument (NPCR-PEI) (Online)	CDC.0920-0706	NPCR Program Evaluation Instrument (Online)
NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper)	CDC.0920-0706	NPCR Program Evaluation Instrument

---

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	33	0	0	33	0	0
Annual Time Burden (Hours)	66	0	0	66	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: This reinstatement request reflects the anticipated changes in NPCR program standards, changes in the PEI content, and a slight increase in the number of NPCR awardees from 48 to 50. The estimated burden for completing the PEI will remain at 2 hours per response, resulting in an overall increase in burden to respondents.

---

Annual Cost to Federal Government: $49,716

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 12/15/2017

---