National Breast and Cervical Cancer Early Detection Program (NBCCEDP) Monitoring Activities

Forms and Documents

Document Name	Status
Form 0920-1046 Minimum Data Elements (MDE) Data Definition Table Form and Instruction	New
Form 0920-1046 NBCCEDP Service Delivery Projection Worksheet Form and Instruction	New
Form 0920-1046 NBCCEDP Quarterly Program Update Form and Instruction	New
Form 0920-1046 NBCCEDP Clinic-Level Data Instrument (Cervical) Form and Instruction	Modified
Form 0920-1046 NBCCEDP Clinic-Level Data Collection Instruments Form and Instruction	Modified
Form 0920-1046 Annual NBCCEDP Survey Form and Instruction	Modified
0920-1046_PIA final.pdf Supplementary Document	2021-11-02
Att 10 - Institutional Review Board Approval.docx Supplementary Document	2021-11-02
Att 11 - NBCCEDP 60-Day FRN.pdf Supplementary Document	2021-11-02
Att 4 -NBCCEDP Evaluation Question Matrix.docx Supplementary Document	2021-11-01
Att 3 - DP22-2202 NBCCEDP Logic Model.docx Supplementary Document	2021-11-01
Att 2 - Breast and Cervical Cancer Mortality Prevention Act of 1990.pdf Supplementary Document	2021-11-02
Att 1 - Authorizing Legislation.pdf Supplementary Document	2021-11-02
0920-1046 SS Part B_Final.docx Supporting Statement B	2021-11-01
SS Part A_Final.v2_0920-1046.docx Supporting Statement A	2021-11-18

IC Document Collections

IC ID	Document Title	Status
250030	Minimum Data Elements (MDE) Data Definition Table Form and Instruction	New
250027	NBCCEDP Service Delivery Projection Worksheet Form and Instruction	New
250010	NBCCEDP Quarterly Program Update Form and Instruction	New
233708	NBCCEDP Clinic-Level Data Instrument (Cervical) Form and Instruction	Modified
233707	NBCCEDP Clinic-Level Data Collection Instruments Form and Instruction	Modified
233706	Annual NBCCEDP Survey Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1046	ICR Reference No: 202111-0920-005
Status: Received in OIRA	Previous ICR Reference No: 202009-0920-022
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1046
Title: National Breast and Cervical Cancer Early Detection Program (NBCCEDP) Monitoring Activities
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/18/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2021
Responses	1,400	910
Time Burden (Hours)	1,228	764
Cost Burden (Dollars)	38,976	38,976

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Abstract: CDC is required to monitor and evaluate processes and outcomes for the NBCCEDP. Recipients are required to report information to CDC to support these efforts. Based on the redesigned NBCCEDP under DP22-2202, CDC developed a logic model to illustrate the strategies and expected outcomes associated with the NBCCEDP over time (Attachment 3 – DP22-2202 NBCCEDP Logic Model). In contrast to DP17-1701, DP22-2202 has a stronger focus on selecting and engaging partners to support NBCCEDP implementation, including serving populations disproportionately burdened by breast and/or cervical cancer and tracking them through screening completion. As illustrated in the logic model, CDC anticipates that recipients’ implementation of the five strategies and activities described will result in several desired short-, intermediate-, and long-term outcomes, including increased breast and cervical screening rates. The logic model guided development of CDC’s NBCCEDP monitoring and evaluation plan, which includes evaluation questions and sub-questions that map to the proposed information collections (Attachment 4 – NBCCEDP Evaluation Question Matrix) to be addressed through systematic monitoring and evaluation of these key strategies and the primary outcome of screening rate changes over time. In 2022, CDC will issue a new Notice of Funding Opportunity (DP22-2202) to continue this mission with a stronger focus on collaborating with other public health programs and community-based organizations to serve populations disproportionately burdened by breast and/or cervical cancer. Based on data collection conducted throughout DP17-1701 and consistent with programmatic changes, the information collection plan has also been revised to update existing and add new data collection instruments and integrate the previously approved MDEs into this single approval package to increase efficiency. DP22-2202 is expected to fund the same number of recipients (N=70).

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Authorizing Statute(s): US Code: 42 USC 300k Name of Law: Breast and Cervical Cancer Mortality Prevention Act of 1990
   PL: Pub.L. 101 - 354 2 Name of Law: Breast and Cervical Cancer Prevention and Treatment Act of 2000
  

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:
	86 FR 40055	07/26/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 63394	11/16/2021
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
NBCCEDP Clinic-Level Data Instrument (Cervical)	0920-1046	NBCCEDP Clinic-Level Data Collection Instruments (Cervical)
Annual NBCCEDP Survey	0920-1046	Annual National Breast and Cervical Early Detection Program (NBCCEDP) Survey
Minimum Data Elements (MDE) Data Definition Table	0920-1046	Minimum Data Elements (MDE) Data Definition Table
NBCCEDP Clinic-Level Data Collection Instruments	0920-1046	NBCCEDP Clinic-Level Data Collection Instruments
NBCCEDP Quarterly Program Update	0920-1046	NBCCEDP Quarterly Program Update
NBCCEDP Service Delivery Projection Worksheet	0920-1046	NBCCEDP Service Delivery Projections

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ICR Summary 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	1,400	910	0	490	0	0
Annual Time Burden (Hours)	1,228	764	0	464	0	0
Annual Cost Burden (Dollars)	38,976	38,976	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: These revisions were made to improve data quality. Because revisions increased the number of questions in the annual survey, burden hours increased from 56 to 65 burden hours. Revisions to the clinic-level data collection did not result in increased burden; therefore, the estimated burden remains the same. The QPU is new and involves four annual submissions for all 70 recipients for a net increase of 104 estimated burden hours. The service delivery projection worksheet is also new and involves an annual submission for all 70 recipients for a net increase of 34 estimated burden hours. There were no changes to the MDEs; therefore, the estimated burden remains the same.

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Annual Cost to Federal Government: $682,478

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.     No

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? Yes

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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: 11/18/2021

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