Information Collection Request

National Program of Cancer Registries Program Evaluation Instrument

ICR 202111-0920-019 · OMB 0920-0706 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CDC.0920-0706 NPCR - Program Evaluation Instrument (NPCR-PEI) (Online) Form Modified Repair queued
Form CDC.0920-0706 NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper) Form Modified Missing upstream
0920-0706 Attachment 3C_PEI 2022-2024 Changes_2021_Final.docx Supplementary Document Uploaded 2021-11-29 Available
0920-0706 Attachment 3D_Draft Sample Letter w Inst_Final.docx Supplementary Document Uploaded 2021-11-29 Repair queued
0920-0706 Attachment 7_0706_IRB Determination.docx.pdf Supplementary Document Uploaded 2021-11-29 Repair queued
0920-0706 Supporting Statement B_Revised -09152021 - Final.docx Supporting Statement B Uploaded 2021-11-29 Repair queued
0920-0706 Attachment 6_National Results 2018 Survey_Final.pdf Supplementary Document Uploaded 2021-11-29 Repair queued
0920-0706 Attachment 5_ NPCR Program Standards_Final.pdf Supplementary Document Uploaded 2021-11-29 Repair queued
0920-0706 Attachment 4_List of 2017-2021 NPCR Funded Awardees_Final.docx Supplementary Document Uploaded 2021-11-29 Missing upstream
0920-0706 Attachment 2A_2021-06291 NPCR PEI Published 60-day FRN.pdf Supplementary Document Uploaded 2021-11-29 Repair queued
0920-0706 Attachment 1B_Section 301 of the Public Health Service Act_2021_Final.pdf Supplementary Document Uploaded 2021-11-29 Repair queued
0920-0706 Attachment 1A_Cancer Registries Amendment Act - Public Law 102-515_ 2021_Final.pdf Supplementary Document Uploaded 2021-11-29 Repair queued
0920-0706 Supporting Statement A - Revised -09152021-Final_ICRO.docx Supporting Statement A Uploaded 2021-12-01 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
37809 NPCR - Program Evaluation Instrument (NPCR-PEI) (Online) Form Modified
229225 NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper) Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
33 0
66 0
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
NPCR - Program Evaluation Instrument (NPCR-PEI) (Online) CDC.0920-0706 NPCR Program Evaluation Instrument (Online)
NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper) CDC.0920-0706 NPCR Program Evaluation Instrument

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 33 0 0 33 0 0
Annual Time Burden (Hours) 66 0 0 66 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No