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

Forms and Documents

Forms and supporting documents for this ICR

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
ATT 9_Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2019-02-20	Available
ATT 4_NBCCEDP Evaluation Question Matrix.docx	Supplementary Document	Uploaded 2019-02-19	Available
ATT 3_NBCCEDP_ Logic Model.pdf	Supplementary Document	Uploaded 2019-02-19	Available
ATT 5_MDE Data Definitions.docx	Supplementary Document	Uploaded 2019-02-19	Available
ATT6_Proposed Changes to the Currently-Approved MDE Data Variables.docx	Supplementary Document	Uploaded 2019-02-19	Available
ATT 8_Institutional Review Board Approval.docx	Supplementary Document	Uploaded 2019-02-19	Available
ATT 7_60-Day Federal Register Announcement.pdf	Supplementary Document	Uploaded 2019-02-19	Available
0920-0571_SSB 15FEB2019.docx	Supporting Statement B	Uploaded 2019-02-19	Available
0920-0571_SSA 15FEB2019.docx	Supporting Statement A	Uploaded 2019-02-19	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	Repair queued
Attachment 07 (Grantees map).pdf	Supplementary Document	Uploaded 2012-08-08	Available
Attachment 06 (Datasharing).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

Information collection document groups

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: 201902-0920-006
Status: Active	Previous ICR Reference No: 201508-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0571
Title: Minimum Data Elements for the National Breast and Cervical Cancer Early Detection Program
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: 03/26/2019
	Date Received in OIRA: 02/20/2019
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time CDC will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2022	36 Months From Approved	03/31/2019
Responses	140	0	134
Time Burden (Hours)	350	0	536
Cost Burden (Dollars)	0	0	0

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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. CDC proposes a revision to the MDEs to include removal of several data variables that are no longer relevant for CDC analyses, as well as collapsing/revising several data variables to reduce burden and increase clarity for respondents. Together, the proposed revisions are expected to increase efficiency of MDE data reporting by limiting data variables to only those that are critical to adequately monitor program performance and evaluate processes and outcomes of interest. In addition, this revision will reduce burden by eliminating data variables no longer needed by CDC.

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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

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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:
	83 FR 9320	03/05/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 2508	02/07/2019
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Early Detection Program	0920-0571, none	Web-based Portal Screenshot for MDE Submission ,   National Breast and Cervical Cancer Early Detection Program - Minimum Data Elements (MDEs)

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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	140	134	0	6	0	0
Annual Time Burden (Hours)	350	536	0	-186	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The Revision of 0920-0571 results in an increase in three Respondents, however due to a decrease in the time required to complete the MDE, the overall burden is decreased to 350 hours.

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Annual Cost to Federal Government: $531,164

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

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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: 02/20/2019

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