OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

National Program of Cancer Registries Program Evaluation Instrument

OMB 0920-0706 · HHS/CDC.

OMB 0920-0706

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.

The latest form for National Program of Cancer Registries Program Evaluation Instrument expires 2028-08-31 and is listed under ICR 202506-0920-012.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-0706 NPCR PEI Survey 2026_ ElectronicForm
Form 0920-0706 NPCR - Program Evaluation Instrument (NPCR-PEI) (Online)Form
Form 0920-0706 PEI (Paper)Form
Form 0920-0706 NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper)Form
0920-0706_2026 Privacy-Narrative-Form_08282024.pdf (document unavailable)Supplementary Document
0920-0706 Attachment 8_List of 2022-2027 NPCR Funded Awardees-REV_6.24.2025.docxSupplementary Document
0920-0706 Attachment 11_Human subjects non-research determination.pdfSupplementary Document
0920-0706 Attachment 11_Human subjects non-research determination.pdf Supplementary Document
0920-0706 Attachment 10_NPCR Program Evaluation Results 2022.pdfSupplementary Document
0920-0706 Attachment 10_NPCR Program Evaluation Results 2022.pdf Supplementary Document
0920-0706 Attachment 7_NPCR Program Standards for NOFO DP2202.docxSupplementary Document
0920-0706 Attachment 7_NPCR Program Standards for NOFO DP2202.docx Supplementary Document
0920-0706 Attachment 9_Sample Letter (with PEI Instructions) to NPCR Awardees_2024.pdfSupplementary Document
0920-0706 Attachment 9_Sample Letter (with PEI Instructions) to NPCR Awardees_2024.pdf Supplementary Document
0920-0706 Attachment 5_Cancer Registries Amendment Act - Public Law 102-515.pdfSupplementary Document
0920-0706 Attachment 3_Summary of Changes 2026 PEI.docxSupplementary Document
0920-0706 Attachment 3_Summary of Changes 2026 PEI.docx Supplementary Document
0920-0706_2026 Privacy-Narrative-Form_01022025.pdfSupplementary Document
0920-0706_2026 Privacy-Narrative-Form_01022025.pdf Supplementary Document
0920-0706 Attachment 3C_PEI 2022-2024 Changes_2021_Final.docxSupplementary Document
0920-0706 Attachment 3C_PEI 2022-2024 Changes_2021_Final.docx Supplementary Document
0920-0706 Attachment 3D_Draft Sample Letter w Inst_Final.docxSupplementary Document
0920-0706 Attachment 7_0706_IRB Determination.docx.pdfSupplementary Document
0920-0706 Support Statement-B_6.24.2025.docxSupporting Statement B
0920-0706 Attachment 6_National Results 2018 Survey_Final.pdfSupplementary Document
0920-0706 Attachment 6_National Results 2018 Survey_Final.pdf Supplementary Document
0920-0706 Attachment 5_ NPCR Program Standards_Final.pdfSupplementary Document
0920-0706 Attachment 4_List of 2017-2021 NPCR Funded Awardees_Final.docxSupplementary Document
0920-0706 Attachment 4_List of 2017-2021 NPCR Funded Awardees_Final.docx Supplementary Document
0920-0706 Attachment 2A_2021-06291 NPCR PEI Published 60-day FRN.pdfSupplementary Document
0920-0706 Attachment 2A_2021-06291 NPCR PEI Published 60-day FRN.pdf Supplementary Document
0920-0706 Attachment 1B_Section 301 of the Public Health Service Act_2021_Final.pdfSupplementary Document
0920-0706 Attachment 1B_Section 301 of the Public Health Service Act_2021_Final.pdf Supplementary Document
0920-0706 Attachment 1A_Cancer Registries Amendment Act - Public Law 102-515_ 2021_Final.pdfSupplementary Document
0920-0706 Attachment 1A_Cancer Registries Amendment Act - Public Law 102-515_ 2021_Final.pdf Supplementary Document
0920-0706 Support Statement-A-508 REV_06242025.docxSupporting Statement A
NPCR - Program Evaluation Instrument (NPCR-PEI) (Online) Form
NPCR - Program Evaluation Instrument (NPCR-PEI) (Online) Form
NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper) Form
NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper) Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202506-0920-012 Reinstatement with change of a previously approved collection 2025-06-25
202111-0920-019 Reinstatement without change of a previously approved collection 2021-12-02 Approved without change
201711-0920-018 Reinstatement with change of a previously approved collection 2017-12-15 Approved without change
201304-0920-015 Reinstatement with change of a previously approved collection 2013-04-25 Approved with change
200905-0920-001 No material or nonsubstantive change to a currently approved collection 2009-05-13 Improperly submitted and continue
200902-0920-002 No material or nonsubstantive change to a currently approved collection 2009-02-06 Approved without change
200808-0920-009 Revision of a currently approved collection 2008-08-28 Approved without change
200612-0920-005 No material or nonsubstantive change to a currently approved collection 2006-12-15 Approved without change
200602-0920-010 No material or nonsubstantive change to a currently approved collection 2006-02-13 Approved without change
200509-0920-009 New collection (Request for a new OMB Control Number) 2005-09-28 Approved without change

OMB Details

NPCR - Program Evaluation Instrument (NPCR-PEI) (Online)

Federal Enterprise Architecture: Health - Immunization Management

Information collection instruments
FormNameElectronic accessType
Form 0920-0706NPCR PEI Survey 2026_ ElectronicFillable FileableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.