Information Collection Request

Management Information System for Comprehensive Cancer Control Programs

ICR 202307-0920-003 · OMB 0920-0841 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-0841 NCCCP Annual Key Informant Interview Form and Instruction New Available
Form 0920-0841 NCCCP Survey Form and Instruction New Repair queued
Annual Report, 2020-2023 Form and Instruction Removed Repair queued
0920-0841_Attachment 3a. Key Informant Interview Introductory Email.docx Supplementary Document Uploaded 2023-07-26 Repair queued
0920-0841_Attachment 2d. NCCCP Survey_Thank You Email.docx Supplementary Document Uploaded 2023-07-26 Repair queued
0920-0841_Attachment 2c. NCCCP Survey_First and Second Reminder Emails.docx Supplementary Document Uploaded 2023-07-26 Repair queued
0920-0841_Attachment 2b. NCCCP Survey_Invitation Email.docx Supplementary Document Uploaded 2023-07-26 Repair queued
0920-0841_Attachment 2a. NCCCP Survey Pre-notification Email.docx Supplementary Document Uploaded 2023-07-26 Repair queued
0920-0841_privacy-narrative-form2023.pdf Supplementary Document Uploaded 2023-07-25 Repair queued
0920-0841_Attachment 5. IRB determination.pdf Supplementary Document Uploaded 2023-07-25 Repair queued
0920-0841_Attachment 4a. 60-day FRN for 0920-0841.pdf Supplementary Document Uploaded 2023-07-25 Repair queued
0841 Att 4f CDMIS PIA FINAL.pdf Supplementary Document Uploaded 2020-04-16 Repair queued
0841 Att 3 Awardees FINAL.docx Supplementary Document Uploaded 2020-04-16 Repair queued
0841 Att 1 Authorizing Legislation FINAL.docx Supplementary Document Uploaded 2020-04-16 Repair queued
0920-0841_Support Statement B.docx Supporting Statement B Uploaded 2023-07-25 Repair queued
Revised SSA 26JUL2023.docx Supporting Statement A Uploaded 2023-07-27 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
261242 NCCCP Annual Key Informant Interview Form and Instruction New
261239 NCCCP Survey Form and Instruction New
241383 Annual Report, 2020-2023 Form and Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 07/31/2023
206 66
276 66
0 2,581





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 206 66 0 140 0 0
Annual Time Burden (Hours) 276 66 0 210 0 0
Annual Cost Burden (Dollars) 0 2,581 0 -2,581 0 0


Reginfo record details
  No