Information Collection Request

Colorectal Cancer Control Program (CRCCP) Monitoring Activities

ICR 202011-0920-009 · OMB 0920-1074 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CRCCP Quarterly Program Update Form and Instruction New Available
CRCCP Quarterly Program Update Form and Instruction New Repair queued
CRCCP Clinic Baseline and Annual Reporting System (CBARS) Form Modified Available
CRCCP Clinic-level Information Collection Form Modified Repair queued
CRCCP Annual Grantee Survey Form and Instruction Modified Available
CRCCP Annual Awardee Survey Form and Instruction Modified Repair queued
Att 11 - CRCCP DP20-2002 Awardees_rev.pdf Supplementary Document Uploaded 2020-12-03 Repair queued
Att 10 - 684 Form FINAL.pdf Supplementary Document Uploaded 2020-12-03 Repair queued
Att 9 - CRCCP Data Coll Rev Matrix_12032020.docx Supplementary Document Uploaded 2020-12-03 Repair queued
Att 8 - Public Comments.docx Supplementary Document Uploaded 2020-12-03 Repair queued
Att 7 - 60-Day FRN (published) FINAL.pdf Supplementary Document Uploaded 2020-12-03 Repair queued
Att 6d - CRCCP Qrtrly Prgm Update Remind Email FINAL.docx Supplementary Document Uploaded 2020-12-03 Repair queued
Att 6c - CRCCP Qrtrly Prgm Update Admin Email FINAL.docx Supplementary Document Uploaded 2020-12-03 Repair queued
Att 6b - CRCCP Qrtrly Prgm Update Pre-Admin Email FINAL.docx Supplementary Document Uploaded 2020-12-03 Repair queued
Att 5c - CRCCP Clinic-Lvl Data Coll Intro Email FINAL.docx Supplementary Document Uploaded 2020-12-03 Repair queued
Att 4c - CRCCP Srvy Remind Email FINAL.docx Supplementary Document Uploaded 2020-12-03 Repair queued
Att 4b - CRCCP Srvy Intro Email FINAL.docx Supplementary Document Uploaded 2020-12-03 Repair queued
Att 3 - CRCCP Eval Question Matrix FINAL.docx Supplementary Document Uploaded 2020-12-03 Available
Att 2 - CRCCP Logic Model FINAL.pdf Supplementary Document Uploaded 2020-12-03 Repair queued
Att 1 - Authorizing Leg Final.pdf Supplementary Document Uploaded 2020-12-03 Repair queued
0920-1074 SSB Final 11-12-20.docx Supporting Statement B Uploaded 2020-12-03 Repair queued
0920-1074 SSA Final_12-03-20.docx Supporting Statement A Uploaded 2020-12-03 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
244537 CRCCP Quarterly Program Update Form and Instruction NewCRCCP Quarterly Program Update
244537 CRCCP Quarterly Program Update Form and Instruction New
220791 CRCCP Clinic-level Information Collection Form ModifiedCRCCP Clinic Baseline and Annual Reporting System (CBARS)
220791 CRCCP Clinic-level Information Collection Form Modified
220791 CRCCP Clinic-level Information Collection Instruction Modified
217152 CRCCP Annual Awardee Survey Form and Instruction ModifiedCRCCP Annual Grantee Survey
217152 CRCCP Annual Awardee Survey Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2024 36 Months From Approved
1,015 0 0
760 0 0
41,564 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
CRCCP Annual Awardee Survey n/a
CRCCP Clinic-level Information Collection n/a
CRCCP Quarterly Program Update n/a

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 1,015 0 0 1,015 0 0
Annual Time Burden (Hours) 760 0 0 760 0 0
Annual Cost Burden (Dollars) 41,564 0 0 41,564 0 0


Reginfo record details
  No