[NCCDPHP] National Program of Cancer Registries Program Evaluation Instrument

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0706 NPCR PEI Survey 2026_ Electronic	Form	Modified	Available
Form 0920-0706 NPCR - Program Evaluation Instrument (NPCR-PEI) (Online)	Form	Modified	Repair queued
Form 0920-0706 PEI (Paper)	Form	Modified	Available
Form 0920-0706 NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper)	Form	Modified	Available
0920-0706_2026 Privacy-Narrative-Form_08282024.pdf	Supplementary Document	Uploaded 2025-07-03	Repair queued
0920-0706 Attachment 8_List of 2022-2027 NPCR Funded Awardees-REV_6.24.2025.docx	Supplementary Document	Uploaded 2025-07-03	Available
0920-0706 Attachment 11_Human subjects non-research determination.pdf	Supplementary Document	Uploaded 2025-06-23	Available
0920-0706 Attachment 11_Human subjects non-research determination.pdf	Supplementary Document	Uploaded 2025-06-23	Repair queued
0920-0706 Attachment 10_NPCR Program Evaluation Results 2022.pdf	Supplementary Document	Uploaded 2025-06-23	Available
0920-0706 Attachment 10_NPCR Program Evaluation Results 2022.pdf	Supplementary Document	Uploaded 2025-06-23	Repair queued
0920-0706 Attachment 7_NPCR Program Standards for NOFO DP2202.docx	Supplementary Document	Uploaded 2025-06-23	Available
0920-0706 Attachment 7_NPCR Program Standards for NOFO DP2202.docx	Supplementary Document	Uploaded 2025-06-23	Available
0920-0706 Attachment 9_Sample Letter (with PEI Instructions) to NPCR Awardees_2024.pdf	Supplementary Document	Uploaded 2025-06-23	Available
0920-0706 Attachment 9_Sample Letter (with PEI Instructions) to NPCR Awardees_2024.pdf	Supplementary Document	Uploaded 2025-06-23	Repair queued
0920-0706 Attachment 5_Cancer Registries Amendment Act - Public Law 102-515.pdf	Supplementary Document	Uploaded 2025-06-23	Repair queued
0920-0706 Attachment 5_Cancer Registries Amendment Act - Public Law 102-515.pdf	Supplementary Document	Uploaded 2025-06-23	Repair queued
0920-0706 Attachment 3_Summary of Changes 2026 PEI.docx	Supplementary Document	Uploaded 2025-06-23	Available
0920-0706 Attachment 3_Summary of Changes 2026 PEI.docx	Supplementary Document	Uploaded 2025-06-23	Repair queued
0920-0706_2026 Privacy-Narrative-Form_01022025.pdf	Supplementary Document	Uploaded 2025-06-23	Available
0920-0706_2026 Privacy-Narrative-Form_01022025.pdf	Supplementary Document	Uploaded 2025-06-23	Repair queued
0920-0706 Attachment 3C_PEI 2022-2024 Changes_2021_Final.docx	Supplementary Document	Uploaded 2021-11-29	Available
0920-0706 Attachment 3C_PEI 2022-2024 Changes_2021_Final.docx	Supplementary Document	Uploaded 2021-11-29	Repair queued
0920-0706 Attachment 3D_Draft Sample Letter w Inst_Final.docx	Supplementary Document	Uploaded 2021-11-29	Repair queued
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 Attachment 7_0706_IRB Determination.docx.pdf	Supplementary Document	Uploaded 2021-11-29	Repair queued
0920-0706 Support Statement-B_6.24.2025.docx	Supporting Statement B	Uploaded 2025-07-03	Repair queued
0920-0706 Support Statement-B.docx	Supporting Statement B	Uploaded 2025-06-23	Repair queued
0920-0706 Attachment 6_National Results 2018 Survey_Final.pdf	Supplementary Document	Uploaded 2021-11-29	Available
0920-0706 Attachment 6_National Results 2018 Survey_Final.pdf	Supplementary Document	Uploaded 2021-11-29	Available
0920-0706 Attachment 5_ NPCR Program Standards_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	Available
0920-0706 Attachment 4_List of 2017-2021 NPCR Funded Awardees_Final.docx	Supplementary Document	Uploaded 2021-11-29	Available
0920-0706 Attachment 2A_2021-06291 NPCR PEI Published 60-day FRN.pdf	Supplementary Document	Uploaded 2021-11-29	Available
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	Available
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	Available
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 Support Statement-A-508 REV_06242025.docx	Supporting Statement A	Uploaded 2025-07-03	Repair queued
0920-0706 Support Statement-A-508 REV_02052025.docx	Supporting Statement A	Uploaded 2025-06-23	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
37809	NPCR - Program Evaluation Instrument (NPCR-PEI) (Online)	Form	Modified	NPCR PEI Survey 2026_ Electronic
37809	NPCR - Program Evaluation Instrument (NPCR-PEI) (Online)	Form	Modified
229225	NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper)	Form	Modified	PEI (Paper)
229225	NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper)	Form	Modified

ICR Details

OMB Control No: 0920-0706	ICR Reference No: 202506-0920-012
Status: Active	Previous ICR Reference No: 202111-0920-019
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0706
Title: [NCCDPHP] National Program of Cancer Registries Program Evaluation Instrument
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/11/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/25/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2028	36 Months From Approved
Responses	33	0	0
Time Burden (Hours)	132	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This Reinstatement with Change of a previously approved collection request is to reinstate the NPCR-PEI process and update the survey instrument based on feedback from stakeholders and revisions to NPCR Program Standards. CDC requests a three-year clearance for the proposed program evaluation instrument. Content of the NPCR PEI instrument is updated based on feedback from stakeholders and updates to NPCR Program Standards. A determination was made to edit and clarify various questions; some questions were deleted or revised because they were no longer relevant; no new questions were proposed based on the need for information from awardees to CSB and FOA DP22-2202 requirements.

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Authorizing Statute(s): PL: Pub.L. 102 - 515 3312 Name of Law: Cancer Registries Amendment Act
   US Code: 42 USC 301 Name of Law: Public Health Service Act
  

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 84145	10/21/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 24622	06/11/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
NPCR - Program Evaluation Instrument (NPCR-PEI) (Online)	0920-0706	NPCR PEI Survey 2026_ Electronic
NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper)	0920-0706	PEI (Paper)

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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	33	0	0	33	0	0
Annual Time Burden (Hours)	132	0	0	132	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 reinstatement with changes for a proposed annual burden of 132 hours.

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Annual Cost to Federal Government: $61,825

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.     No

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: 06/25/2025

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