Information Collection Request

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

ICR 201903-0920-002 · OMB 0920-1272 · Historical Active

Forms and Documents

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

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
235389 Adults at High Risk for Cancer Follow-up Survey Form and Instruction NewHigh Risk Follow-up Survey
235388 Adults at High Risk for Cancer Survey Form and Instruction NewHigh Risk Survey
235387 Cancer Survivors - Survivorship Survey Form and Instruction NewCancer Survivor Survey
235386 General Population Survey Form and Instruction NewGeneral Population Survey
235385 Adults at High Risk for Cancer - Follow-up Screener Form and Instruction NewFollow-up Screener
235383 Baseline Screener - Adults Over 40 / Cancer Survivors / Adults at High Risk for Cancer Form and Instruction NewBaseline Screener

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2020 12 Months From Approved
13,250 0 0
1,646 0 0
0 0 0





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
Adults at High Risk for Cancer - Follow-up Screener 0920-18AWP
Adults at High Risk for Cancer Follow-up Survey 0920-18AWP
Adults at High Risk for Cancer Survey 0920-18AWP
Baseline Screener - Adults Over 40 / Cancer Survivors / Adults at High Risk for Cancer 0920-18AWP
Cancer Survivors - Survivorship Survey 0920-18AWP
General Population Survey 0920-18AWP

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 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


Reginfo record details
  No