Information Collection Request

Colorectal Cancer Control Program (CRCCP) Monitoring Activities

ICR 202602-0920-008 · OMB 0920-1074 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-1074 CRCCP Quarterly Program Update Form Unchanged Available
Form 0920-1074 Colorectal Cancer Control Program (CRCCP) Clinic Data Dictionary Form and Instruction Modified Available
Form 0920-1074 CRCCP Clinic Data Collection Instrument Form Modified Available
Form 0920-1074 CRCCP Annual Awardee Survey Form Unchanged Available
Change Request Form_CRCCP DP25 Clinic Data_FINAL.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-02-19 Available
Attachment 1 - Authorizing Leg Final.pdf Supplementary Document Uploaded 2024-05-07 Available
Attachment 8 - Request for Research Determination Status.pdf Supplementary Document Uploaded 2024-05-07 Repair queued
0920-1074 - Privacy Narrative Feb2024.pdf Supplementary Document Uploaded 2024-05-07 Available
0920-1074 SSB_04.02.24.docx Supporting Statement B Uploaded 2024-05-07 Available
0920-1074 SSA_04.02.24.docx Supporting Statement A Uploaded 2024-05-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
244537 CRCCP Quarterly Program Update Form UnchangedCRCCP Quarterly Program Update
244537 CRCCP Quarterly Program Update Form Unchanged
220791 CRCCP Clinic-level Information Collection Form and Instruction ModifiedColorectal Cancer Control Program (CRCCP) Clinic Data Dictionary
220791 CRCCP Clinic-level Information Collection Form ModifiedCRCCP Clinic Data Collection Instrument
220791 CRCCP Clinic-level Information Collection Form Modified
217152 CRCCP Annual Awardee Survey Form UnchangedCRCCP Annual Awardee Survey
217152 CRCCP Annual Awardee Survey Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2027 06/30/2027 06/30/2027
1,015 0 1,015
760 0 760
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
CRCCP Annual Awardee Survey 0920-1074
CRCCP Clinic-level Information Collection 0920-1074, 0920-1074 ,  
CRCCP Quarterly Program Update 0920-1074

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 1,015 1,015 0 0 0 0
Annual Time Burden (Hours) 760 760 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No