Information Collection Request

Assessment of Technical Assistance and Training Approaches to Accelerate Comprehensive Cancer Control Outcomes

ICR 202004-0920-020 · OMB 0920-1193 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Web-based Survey of NCCCP Coalition Members and NCCCP Partners Form and Instruction New Available
In-depth Interview with Selected Respondents to the Web-based Survey Form and Instruction Removed Available
Web-based Survey of NCCCP Awardee Program Directors and Staff Form and Instruction Modified Available
Case Study Interview of DP13-1315 Partner Form and Instruction Removed Available
Form n/ Case Study Interview of TTA Provider Partners Form and Instruction Modified Available
Case Study Interview of DP13-1315 Evaluator Form and Instruction Removed Available
Case Study Interview for TTA Provider Evaluators Form and Instruction Modified Available
Case Study Interview of TTA Provider Program Directors or Managers Form and Instruction Modified Available
Initial Case Study Interview of DP13-1315 Program Director or Manager Form and Instruction Removed Available
Follow-up Case Study Interview of DP13-1314 Program Director or Manager Form and Instruction Removed Available
Initial Case Study Interview of DP13-1314 Program Director or Manager Form and Instruction Removed Available
Worksheet for Identifying Case Study Interviewees Form and Instruction Modified Available
Att 6. ICF IRB Approval Memorandum.pdf Supplementary Document Uploaded 2020-06-08 Available
Att 5g. Web-based survey Thank You Email.docx Supplementary Document Uploaded 2020-06-08 Available
Att 5f. Web-based survey Informed Consent.docx Supplementary Document Uploaded 2020-06-08 Available
Att 5c. Web-based survey Reminder Emails.docx Supplementary Document Uploaded 2020-06-08 Available
Att 5b. Web-based survey Invitation Email.docx Supplementary Document Uploaded 2020-06-08 Available
Att 5a. Web-based survey Pre-notification Email.docx Supplementary Document Uploaded 2020-06-08 Available
Att 4g. Case Study Interview Informed Consent.docx Supplementary Document Uploaded 2020-06-08 Available
Att 4c. Case Study Interview Introductory Email.docx Supplementary Document Uploaded 2020-06-08 Available
Att 4a. Case Study Interview Introductory Letter.docx Supplementary Document Uploaded 2020-06-08 Available
Att 3b. Evaluation Matrix for DP18-1805.docx Supplementary Document Uploaded 2020-06-08 Available
Att 3a. Conceptual Framework for DP18-1805.docx Supplementary Document Uploaded 2020-06-08 Available
Att 2 - 60-day Federal Register Notice.pdf Supplementary Document Uploaded 2020-06-08 Available
Att 1 - Authorizing Legislation.docx Supplementary Document Uploaded 2020-06-08 Available
TTAEVAL_SSB_5.27.20.docx Supporting Statement B Uploaded 2020-06-08 Available
TTAEVAL_SSA_5.27.20.docx Supporting Statement A Uploaded 2020-06-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
242185 Web-based Survey of NCCCP Coalition Members and NCCCP Partners Form and Instruction New
226627 In-depth Interview with Selected Respondents to the Web-based Survey Form and Instruction Removed
226625 Web-based Survey of NCCCP Awardee Program Directors and Staff Form and Instruction Modified
226624 Case Study Interview of DP13-1315 Partner Form and Instruction Removed
226623 Case Study Interview of TTA Provider Partners Form and Instruction Modified
226622 Case Study Interview of DP13-1315 Evaluator Form and Instruction Removed
226620 Case Study Interview for TTA Provider Evaluators Form and Instruction Modified
226619 Case Study Interview of TTA Provider Program Directors or Managers Form and Instruction Modified
226618 Initial Case Study Interview of DP13-1315 Program Director or Manager Form and Instruction Removed
226617 Follow-up Case Study Interview of DP13-1314 Program Director or Manager Form and Instruction Removed
226616 Initial Case Study Interview of DP13-1314 Program Director or Manager Form and Instruction Removed
226615 Worksheet for Identifying Case Study Interviewees Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2023 36 Months From Approved
182 0 0
51 0 0
2,814 0 0





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
Initial Case Study Interview of DP13-1314 Program Director or Manager N/A Case Study Interview Guide for DP13-1314 Program Director or Manager
Web-based Survey of NCCCP Coalition Members and NCCCP Partners n/a Web-based Survey (screenshots)
Initial Case Study Interview of DP13-1315 Program Director or Manager N/A Initial Case Study Interview Guide for DP13-1315 Program Director or Manager
In-depth Interview with Selected Respondents to the Web-based Survey N/A In-Depth Interview Guide
Case Study Interview of DP13-1315 Evaluator N/A Case Study Interview Guide for DP13-1315 Evaluators
Case Study Interview of DP13-1315 Partner N/A Case Study Interview Guide for DP13-1315 Partners
Case Study Interview of TTA Provider Program Directors or Managers n/a Case Study Interview Guide for TTA Provider Program Directors or Managers
Case Study Interview of TTA Provider Partners n/ Case Study Interview Guide for TTA Provider Partners
Case Study Interview for TTA Provider Evaluators n/a Case Study Interview Guide for TTA Provider Evaluators
Web-based Survey of NCCCP Awardee Program Directors and Staff n/a Web-based Survey (screenshots)
Worksheet for Identifying Case Study Interviewees n/a Worksheet for Identifying Case Study Interviewees
Follow-up Case Study Interview of DP13-1314 Program Director or Manager N/A Follow-up Case Study Interview Guide for DP13-1314 Program Director or Manager

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 182 0 0 76 88 18
Annual Time Burden (Hours) 51 0 0 10 22 19
Annual Cost Burden (Dollars) 2,814 0 0 560 1,306 948


Reginfo record details
  No