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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1046 Minimum Data Elements (MDE) Data Definition Table	Form and Instruction	Modified	Available
Form 0920-1046 Minimum Data Elements (MDE) Data Definition Table	Form and Instruction	Modified	Available
Form 0920-1046 NBCCEDP Service Delivery Projections	Form and Instruction	Modified	Available
Form 0920-1046 NBCCEDP Service Delivery Projection Worksheet	Form and Instruction	Modified	Repair queued
Form 0920-1046 NBCCEDP Quarterly Program Update	Form and Instruction	Modified	Available
Form 0920-1046 NBCCEDP Quarterly Program Update	Form and Instruction	Modified	Repair queued
Form 0920-1046 NBCCEDP Clinic-Level Data Collection Instruments (Cervical)	Form and Instruction	Modified	Available
Form 0920-1046 NBCCEDP Clinic-Level Data Instrument (Cervical)	Form and Instruction	Modified	Missing upstream
Form 0920-1046 NBCCEDP Clinic-Level Data Collection Instruments	Form and Instruction	Modified	Available
Form 0920-1046 NBCCEDP Clinic-Level Data Collection Instruments	Form and Instruction	Modified	Repair queued
Form 0920-1046 Annual National Breast and Cervical Early Detection Program (NBCCEDP) Survey	Form and Instruction	Modified	Available
Form 0920-1046 Annual NBCCEDP Survey	Form and Instruction	Modified	Repair queued
Att 11a - CDC Responses to Public Comments.docx	Public Comments	Uploaded 2024-10-08	Repair queued
0920-1046_PIA final.pdf	Supplementary Document	Uploaded 2025-01-13	Available
0920-1046_PIA final.pdf	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 11 - 60 Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 11 - 60 Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 10 - Institutional Review Board Approval.pdf	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 10 - Institutional Review Board Approval.pdf	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 7d - NBCCEDP Quarterly Program Update Reminder Email.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 7d - NBCCEDP Quarterly Program Update Reminder Email.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 7c - NBCCEDP Quarterly Program Update Administration Email.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 7c - NBCCEDP Quarterly Program Update Administration Email.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 7b - NBCCEDP Quarterly Program Update Pre-Administration Email.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 7b - NBCCEDP Quarterly Program Update Pre-Administration Email.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 6c - NBCCEDP Clinic-Level Data Collection Reminder Email.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 6c - NBCCEDP Clinic-Level Data Collection Reminder Email.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 6b - NBCCEDP Clinic-Level Data Collection Introductory Email.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 6b - NBCCEDP Clinic-Level Data Collection Introductory Email.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 5c - Annual NBCCEDP Survey Reminder Email_v2.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 5c - Annual NBCCEDP Survey Reminder Email_v2.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 5b - Annual NBCCEDP Survey Introductory Email_v2.docx	Supplementary Document	Uploaded 2025-01-13	Repair queued
Att 5b - Annual NBCCEDP Survey Introductory Email_v2.docx	Supplementary Document	Uploaded 2025-01-13	Available
Att 4 - NBCCEDP Data Collection Revision Matrix.docx	Supplementary Document	Uploaded 2025-01-08	Repair queued
Att 4 - NBCCEDP Data Collection Revision Matrix.docx	Supplementary Document	Uploaded 2025-01-08	Repair queued
Att 3 - DP22-2202 NBCCEDP Logic Model.pdf	Supplementary Document	Uploaded 2025-01-08	Repair queued
Att 3 - DP22-2202 NBCCEDP Logic Model.pdf	Supplementary Document	Uploaded 2025-01-08	Repair queued
Att 2 - Breast and Cervical Cancer Mortality Prevention Act of 1990.pdf	Supplementary Document	Uploaded 2025-01-08	Repair queued
Att 2 - Breast and Cervical Cancer Mortality Prevention Act of 1990.pdf	Supplementary Document	Uploaded 2025-01-08	Repair queued
Att 1 - Authorizing Legislation.pdf	Supplementary Document	Uploaded 2025-01-08	Repair queued
Att 1 - Authorizing Legislation.pdf	Supplementary Document	Uploaded 2025-01-08	Repair queued
0920-1046 SS Part B_Revision.docx	Supporting Statement B	Uploaded 2025-01-08	Available
0920-1046 SS Part B_Revision.docx	Supporting Statement B	Uploaded 2025-01-08	Repair queued
0920-1046 SS Part A Revision_rev_final.docx	Supporting Statement A	Uploaded 2025-01-13	Repair queued
0920-1046 SS Part A Revision_rev_final.docx	Supporting Statement A	Uploaded 2025-01-13	Missing upstream

IC Document Collections

Information collection document groups

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

ICR Details

OMB Control No: 0920-1046	ICR Reference No: 202501-0920-002
Status: Active	Previous ICR Reference No: 202111-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1046
Title: [NCCDPHP] 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
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/17/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/13/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2028	36 Months From Approved	03/31/2025
Responses	1,420	0	1,400
Time Burden (Hours)	1,162	0	1,228
Cost Burden (Dollars)	0	0	38,976

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Abstract: This project will systematically collect information about implementation, including delivery of screening and follow-up clinical services, and outcomes of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which funds 71 recipients. In this Revision, CDC proposed use of three revised instruments - the annual NBCCEDP survey, clinic-level data collection, and quarterly program update (QPU) - and continued use of two instruments - the Service Delivery Projection Worksheet and MDEs - with no changes. The estimated burden will decrease from 1,220 to 1,162.

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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:
	89 FR 79922	10/01/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 1492	01/08/2025
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

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

table that charts list of burden

	Total Approved	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	1,420	1,400	0	20	0	0
Annual Time Burden (Hours)	1,162	1,228	0	-66	0	0
Annual Cost Burden (Dollars)	0	38,976	0	-38,976	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: Miscellaneous Actions

Short Statement: The burden decreased slightly because of modified burden times even though there was one extra respondent added per instrument.

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Annual Cost to Federal Government: $711,171

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

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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: 01/13/2025

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