Using Social Media for Recruitment in Cancer Prevention and Control Survey-based Research (SMFR Study)

Forms and Documents

Document Name	Status
Form 0920-18AWP Adults at High Risk for Cancer Follow-up Survey Form and Instruction	New
Form 0920-18AWP Adults at High Risk for Cancer Survey Form and Instruction	New
Form 0920-18AWP Cancer Survivors - Survivorship Survey Form and Instruction	New
Form 0920-18AWP General Population Survey Form and Instruction	New
Form 0920-18AWP Adults at High Risk for Cancer - Follow-up Screener Form and Instruction	New
Form 0920-18AWP Baseline Screener - Adults Over 40 / Cancer Survivors / Adults at High Risk for Cancer Form and Instruction	New
Attachment 11 PIA from Social Media Study approved (11-6-2018).pdf Supplementary Document	2019-03-18
Attachment 10c 60FRN- comments and response.docx Supplementary Document	2019-03-18
Attachment 10a CDC-2018-0083-0001.pdf Supplementary Document	2019-03-18
Attachment 9c IRB Authorization Agreement.pdf Supplementary Document	2019-03-18
Attachment 9b CDC IRB Reliance Letter.docx Supplementary Document	2019-03-18
Attachment 9a NORC IRB Approval Renewal.pdf Supplementary Document	2019-03-18
Attachment 8e - Follow-up survey - web screenshots.pdf Supplementary Document	2019-03-18
Attachment 8d - High Risk Survey - web screenshots.pdf Supplementary Document	2019-03-18
Attachment 8c -Survivor survey - web screenshots.pdf Supplementary Document	2019-03-18
Attachment 8b -General Population survey - web screenshots.pdf Supplementary Document	2019-03-18
Attachment 8a - Survey screener - web screenshots.pdf Supplementary Document	2019-03-18
Attachment 7 Invitation Email.docx Supplementary Document	2019-03-18
Attachment 5c Follow Up Consent & Landing Page.docx Supplementary Document	2019-03-18
Attachment 5b Frequently Asked Questions.docx Supplementary Document	2019-03-18
Attachment 5a Consent & Landing Page.docx Supplementary Document	2019-03-18
Attachment 4 Web Recruitment Ads.docx Supplementary Document	2019-03-18
Attachment 1 Authorizing Legislation.pdf Supplementary Document	2019-03-18
Supporting_Statement-Part_B- final-v4-clean.docx Supporting Statement B	2019-10-31
Supporting_Statement-Part_A- FINALv5 ICRO.docx Supporting Statement A	2019-10-31

IC Document Collections

IC ID	Document Title	Status
235389	Adults at High Risk for Cancer Follow-up Survey Form and Instruction	New
235388	Adults at High Risk for Cancer Survey Form and Instruction	New
235387	Cancer Survivors - Survivorship Survey Form and Instruction	New
235386	General Population Survey Form and Instruction	New
235385	Adults at High Risk for Cancer - Follow-up Screener Form and Instruction	New
235383	Baseline Screener - Adults Over 40 / Cancer Survivors / Adults at High Risk for Cancer Form and Instruction	New

ICR Details

OMB Control No: 0920-1272	ICR Reference No: 201903-0920-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-18AWP
Title: Using Social Media for Recruitment in Cancer Prevention and Control Survey-based Research (SMFR Study)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/05/2019
	Date Received in OIRA: 03/26/2019
Terms of Clearance: Consistent with the Supporting Statements, the methods for recruiting participants for this study limit CDC’s ability to make inferences about broader populations, and as such, OMB approves this collection consistent with the understanding that CDC will only be conducting formative research that will not be used as influential information to support agency policies or decisions. Approval for collection through social media sampling is provided specifically for the purposes of capturing diverse experiences from a hard to reach population and informing more robust future studies. When communicating findings from this collection, all publications will clearly describe the scope and limitations of the methods and findings. Approval is provided contingent upon a commitment to work with the National Center for Health Statistics to minimize duplication of effort and to align efforts within CDC; should modifications to the methodology, data quality, or instruments be necessary, CDC will consult with both NCHS and OMB in advance of submission. CDC commits to peer review on all publications, abstracts, poster presentations, and manuscripts based upon this research and will share final copies of each publication with OMB. CDC further commits to submitting a data quality report to OMB summarizing the results of its feasibility research within 18 months of approval. The report will receive review and comment from NCHS and should include but is not limited to a discussion of break offs, missing items, benchmarking to NCHS or other high quality statistics where applicable, and fraudulent responses.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	12 Months From Approved
Responses	13,250	0	0
Time Burden (Hours)	1,646	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this study is to assess the feasibility of conducting survey-based cancer prevention and control research using social media and web platforms for study recruitment. Surveys will evaluate cancer screening and access to medical care in the general population, general health and well-being post-treatment among cancer survivors, and genetic risk communication patterns among those at high risk for cancer. Results will be compared to data collected from proportional samples to assess sampling bias.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: PHSA
  

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 47170	09/18/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 11101	03/25/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Cancer Survivors - Survivorship Survey	0920-18AWP	Cancer Survivor Survey
General Population Survey	0920-18AWP	General Population Survey
Baseline Screener - Adults Over 40 / Cancer Survivors / Adults at High Risk for Cancer	0920-18AWP	Baseline Screener
Adults at High Risk for Cancer - Follow-up Screener	0920-18AWP	Follow-up Screener
Adults at High Risk for Cancer Follow-up Survey	0920-18AWP	High Risk Follow-up Survey
Adults at High Risk for Cancer Survey	0920-18AWP	High Risk Survey

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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	13,250	0	0	13,250	0	0
Annual Time Burden (Hours)	1,646	0	0	1,646	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 is a new ICR

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Annual Cost to Federal Government: $563,013

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.     Yes

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: 03/26/2019

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