Focus Group Testing to Effectively Plan and Tailor Cancer Prevention and Control Communication Campaigns

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-23GT [NCCDPHP] Focus Group Testing to Effectively Plan and Tailor a Cancer Prevention and Control Communication Campaign (Bring your Brave)	Form and Instruction	New	Available
0920-0800 Attachment D Health Msgs.docx	Supplementary Document	Uploaded 2022-02-10	Repair queued
0920-0800 Attachment C3 Discussion Gde Example.docx	Supplementary Document	Uploaded 2022-02-10	Repair queued
0920-0800 Attachment A3 EARLY Act.pdf	Supplementary Document	Uploaded 2022-02-10	Repair queued
0920-0800 Attachment C2 Consent Form Example.docx	Supplementary Document	Uploaded 2022-02-10	Repair queued
0920-0800 Attachment C1 Screening Form Example.docx	Supplementary Document	Uploaded 2022-02-10	Repair queued
0920-0800 Privacy Narrative.pdf	Supplementary Document	Uploaded 2022-02-10	Repair queued
0920-0800 Attachment A2 Johanna's Law.pdf	Supplementary Document	Uploaded 2022-02-10	Repair queued
0920-0800 Attachment A1 Public Health Service Act.pdf	Supplementary Document	Uploaded 2022-02-10	Repair queued
0920-0800 PIA form - Focus group Testing - CAllen edits_3.pdf	Supplementary Document	Uploaded 2018-08-14	Repair queued
Appendix E_Example Questions Discussion Guide_reinstatement.doc	Supplementary Document	Uploaded 2018-08-14	Repair queued
Appendix D_Example Consent Form_2017 reinstatment.doc	Supplementary Document	Uploaded 2018-08-14	Repair queued
Appendix C_Example Questions for Focus Group Screening_reinstatement v4.doc	Supplementary Document	Uploaded 2018-08-14	Missing upstream
Appendix B_60-day Federal Register Notice.pdf	Supplementary Document	Uploaded 2018-08-14	Repair queued
Appendix A2_Public Health Service Act_Johannas Law.pdf	Supplementary Document	Uploaded 2018-08-14	Repair queued
Appendix A1_Public Health Service Act.pdf	Supplementary Document	Uploaded 2018-08-14	Repair queued
0920-0800 Supporting Statement B-Edit.docx	Supporting Statement B	Uploaded 2022-02-10	Missing upstream
0920-0800 Supporting Statement A-EDIT Thomas (004).docx	Supporting Statement A	Uploaded 2022-02-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
261061	[NCCDPHP] Focus Group Testing to Effectively Plan and Tailor a Cancer Prevention and Control Communication Campaign (Bring your Brave)	Form and Instruction	New

ICR Details

OMB Control No: 0920-0800	ICR Reference No: 202202-0920-004
Status: Received in OIRA	Previous ICR Reference No: 201808-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0800
Title: Focus Group Testing to Effectively Plan and Tailor Cancer Prevention and Control Communication Campaigns
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/11/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	2,400	0
Time Burden (Hours)	1,680	0
Cost Burden (Dollars)	45,478	0

---

Abstract: CDC is requesting a three-year reinstatement of the recently expired 0920-0800. Formative research will be conducted to assist in planning, developing, and/or tailoring cancer-related health messages and communication campaigns. Information is collected through focus groups involving the general public, health care professionals, or specific target audiences. No changes to the scope or methods.

---

Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
   US Code: 42 USC 247b-17 Name of Law: Gynecologic Cancer Education and Awareness Act, Johanna's Law
  

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:
	86 FR 40050	07/26/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 6559	02/04/2022
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	2,400	0	0	-4,800	0	7,200
Annual Time Burden (Hours)	1,680	0	0	-3,360	0	5,040
Annual Cost Burden (Dollars)	45,478	0	0	-46,472	0	91,950

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: Information will be collected over a three-year time period. There are no costs to respondents except their time to participate in the focus groups. The total annualized burden to respondents is 1,680 hours.

---

Annual Cost to Federal Government: $491,600

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.     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.     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? 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: 02/11/2022

---