OMB control number

Colorectal Cancer Control Program (CRCCP) Monitoring Activities

OMB 0920-1074 ยท HHS/CDC.

OMB 0920-1074

CDC requests approval the Colorectal Cancer Control Program (CRCCP). The goal of this information collection is to systematically collect information about the implementation and outcomes of the CRCCP. CDC will use resulting information to monitor the implementation of CRCCP activities and evaluate outcomes achieved across all grantees. CDC will conduct an annual grantee survey and collect clinic-level information from grantees' health system partners. CDC also plans to implement a new quarterly program update report. CDC will use descriptive statistics to produce reports for CDC program management. This Non-Substantive Change Request is submitted to 1) adjust screening-eligible age range to 45-75, 2) add items on clinic confidence in screening/completion rates, use of CDC funds for screening, and challenges sustaining evidence-based interventions (EBIs), and 3) remove items on factors affecting EBI implementation based on the newly issued NOFO. There is no change to the approved respondent burden.

The latest form for Colorectal Cancer Control Program (CRCCP) Monitoring Activities expires 2027-06-30 and is listed under ICR 202602-0920-008.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-1074 CRCCP Quarterly Program UpdateForm
Form 0920-1074 Colorectal Cancer Control Program (CRCCP) Clinic Data Dictionary (document unavailable)Form and Instruction
Form 0920-1074 CRCCP Clinic Data Collection InstrumentForm
Form 0920-1074 CRCCP Annual Awardee SurveyForm
Change Request Form_CRCCP DP25 Clinic Data_FINAL.docxJustification for No Material/Nonsubstantive Change
Attachment 1 - Authorizing Leg Final.pdfSupplementary Document
Attachment 8 - Request for Research Determination Status.pdf (document unavailable)Supplementary Document
0920-1074 - Privacy Narrative Feb2024.pdfSupplementary Document
0920-1074 SSB_04.02.24.docxSupporting Statement B
0920-1074 SSA_04.02.24.docxSupporting Statement A
CRCCP Quarterly Program Update Form
CRCCP Quarterly Program Update Form
CRCCP Clinic-level Information Collection Form and Instruction
CRCCP Clinic-level Information Collection Form
CRCCP Clinic-level Information Collection Form
CRCCP Annual Awardee Survey Form
CRCCP Annual Awardee Survey Form

All Historical Document Collections

OMB Details

CRCCP Annual Awardee Survey

Federal Enterprise Architecture: Health - Illness Prevention

Information collection instruments
FormNameElectronic accessType
Form 0920-1074CRCCP Annual Awardee SurveyFillable FileableForm

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