[NCCDPHP]Social and Economic Barriers to Receiving Optimal Services Along the Cancer Care Continuum

Forms and Documents

Document Name	Status
Form 0920-23IE Advocacy Representatives Focus Group Guide Form	New
Form 0920-23IE Caregiver Interview Guide Form	New
Form 0920-23IE Survior Interview Guide Form	New
Form 0920-23IE Wave 2 Survey Form	New
Form 0920-23IE Caregiver Survey Form	New
Form 0920-23IE Wave 1 Survey Form	New
privacy-narrative-form_v6_revised 012324.pdf Supplementary Document	2024-09-05
Attachment 11 cover sheet_All Participant Types One-page Recruitment Flyer.docx Supplementary Document	2024-09-05
Attachment 8_Cancer Registry Data Fields.docx Supplementary Document	2024-09-05
Attachment 9 cover sheet_Federal Register Notice.pdf Supplementary Document	2024-09-04
Attachment 10 cover sheet_Human Subjects Document IRB Approval.pdf Supplementary Document	2024-09-04
privacy-narrative-form_v6_revised 012324.pdf Supplementary Document	2024-09-04
Support-Statement-B_SDoH_03.26.2024.docx Supporting Statement B	2024-09-04
Support-Statement-A-508_SDoH_04.12.2024_Clean_NSE_pubs.docx Supporting Statement A	2024-09-04

IC Document Collections

IC ID	Document Title	Status
270661	Advocacy Representatives Focus Group Guide Form	New
270658	Caregiver Interview Guide Form	New
270643	Survior Interview Guide Form	New
270642	Wave 2 Survey Form	New
270639	Caregiver Survey Form	New
270637	Wave 1 Survey Form	New

ICR Details

OMB Control No:	ICR Reference No: 202409-0920-002
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-23IE
Title: [NCCDPHP]Social and Economic Barriers to Receiving Optimal Services Along the Cancer Care Continuum
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/05/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	5,156	0
Time Burden (Hours)	1,681	0
Cost Burden (Dollars)	0	0

---

Abstract: This research study will help CDC examine the social and economic barriers that individuals who are newly diagnosed with colorectal, breast, and cervical cancer face at each stage of the cancer care continuum, from screening through survivorship. We are also interested in learning about caregivers’ experiences including the barriers they faced as well as the barriers they perceived their care recipients faced. This project will improve our understanding of the cancer care experience, and how experiences may vary across cancer care continuum and for different populations.The results will produce data-driven evidence that inform efforts aimed at increasing access to cancer care services, reducing the burden of cancers and closing the disparities gap.

---

Authorizing Statute(s): US Code: 42 USC 241 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:
	88 FR 66004	09/26/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 71275	09/03/2024
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Advocacy Representatives Focus Group Guide	0920-23IE	Advocacy Focus Group Guide
Caregiver Interview Guide	0920-23IE	Caregiver Interview Guide
Caregiver Survey	0920-23IE, 0920-23IE	Caregiver Survey_English ,   Caregiver Survey_online_Spanish
Survior Interview Guide	0920-23IE	Survivor Interview Guide
Wave 1 Survey	0920-23IE, 0920-23IE	Wave 1 Survivor Survey_English ,   Wave 1 Survivor Survey_Spanish
Wave 2 Survey	0920-23IE, 0920-23IE	Wave 2 Survey_English ,   Wave 2 Survivor Survey_online_Spanish

---

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	5,156	0	0	5,156	0	0
Annual Time Burden (Hours)	1,681	0	0	1,681	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 new collection seeking three years of approval for 1,681 hours per year.

---

Annual Cost to Federal Government: $696,473

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.     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: 09/05/2024

---