Generic Submission for Formative Research, Pre-testing, Stakeholder Measures and Advocate Forms at NCI

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SSA Generic OAR Final 2.3..2021 v2.docx	Supporting Statement A	Uploaded 2021-02-04	Repair queued
pub 30-day FRN 2021-02295.pdf	Supplementary Document	Uploaded 2021-02-04	Repair queued
Attachment 5 Profile Completion Questionairre .docx	Supplementary Document	Uploaded 2021-02-04	Repair queued
Attachment 4 Interview Guide (7).docx	Supplementary Document	Uploaded 2021-02-04	Repair queued
Attachment 3 OHSRP Exclusion.pdf	Supplementary Document	Uploaded 2021-02-04	Repair queued
Attachment 2 PIA.pdf	Supplementary Document	Uploaded 2021-02-04	Repair queued
Attachment 1 Privacy Act Memo.pdf	Supplementary Document	Uploaded 2021-02-04	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form

ICR Details

OMB Control No: 0925-0641	ICR Reference No: 202102-0925-002
Status: Received in OIRA	Previous ICR Reference No: 201712-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Generic Submission for Formative Research, Pre-testing, Stakeholder Measures and Advocate Forms at NCI
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/05/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	108	0
Time Burden (Hours)	54	0
Cost Burden (Dollars)	0	0

---

Abstract: This is a request for OMB to approve the extension of the generic collection titled, “A Generic Submission for Formative Research, Pre-testing, Stakeholder Measures and Advocate Forms at NCI” for an additional three years of data collection. The Office of Advocacy Relations (OAR) disseminates cancer-related information to a variety of stakeholders, seeks input and feedback, and facilitates collaboration to advance NCI’s authorized programs. It is beneficial for NCI, through the OAR, to pretest strategies, concepts, activities and materials while they are under development.

---

Authorizing Statute(s): US Code: 42 USC 285a-1 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 63565	10/08/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 8216	02/04/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 0

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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	108	0	0	108	0	0
Annual Time Burden (Hours)	54	0	0	54	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 Reinstatement without change due to 30-day FRN not being published prior to expiration, due to transitioning of new Administration. Previously, the database needed to be built and more frequently edited to meet the needs of OAR and the advocacy community, which necessitated a large number of burden hours. In its current form, the database is fully developed, and we haven’t needed to make nearly as many changes as in previous years. In addition, the work of our office has not necessitated any sub-studies, nor does it anticipate any in the near future. Therefore, the program is asking for a reduction in burden hours. Annual burden hours for previous submission (2017) were proposed at 45, annual burden hours for current submission (2020) are proposed at 18, for a 27-annual burden-hour reduction.

---

Annual Cost to Federal Government: $16,676

Does this IC contain surveys, censuses, or employ statistical methods? No

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.     Yes

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? No

---

Common Form ICR:  No

---

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: 02/05/2021

---