Assessment of the Cancer Survivorship Demonstration Project

OMB 0920-1250

This Information collection aims to assess six Division of Cancer Prevention and Control National Comprehensive Cancer Control Program DP15-1501-funded grantees' efforts. The assessment will determine their ability to implement evidence-based and promising strategies to increase knowledge of cancer survivor needs, increase utilization of surveillance data to inform program planning by providers and coalition members, and enhance partnerships to facilitate and broaden program reach. Information will be collected from DP15-1501 grantee staff and partners in two waves via Web-based surveys and semistructured telephone interviews.

The latest form for Assessment of the Cancer Survivorship Demonstration Project expires 2022-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Web-based Partner Survey Form
Web-based Grantee Survey Form
Att 6_RTI IRB Decision Memo.pdf Supplementary Document
Att 5_Intro Data Collection Email to DP15-1501 Grantees.docx Supplementary Document
Att 3i_Web-based Survey Items By Respondent Type.docx Supplementary Document
Att 2_60 Day FRN Published.pdf Supplementary Document
Att 1_Section 301 of the Public Health Service Act.pdf Supplementary Document
Supporting Statement B_CDC Survivorship.docx Supporting Statement B
Supporting Statement A_CDC Survivorship - QNH edits CLEAN.docx Supporting Statement A
Telephone Interview Other-Interview Guide
Web-based Partner Survey Form
Web-based Grantee Survey Form

All Historical Document Collections

201811-0920-001

Approved with change

New collection (Request for a new OMB Control Number)

2018-11-20

OMB Details

Web-based Grantee Survey

Federal Enterprise Architecture: Health - Public Health Monitoring

Form none	Grantee Survey - screenshots	Fillable Fileable	Form
Form none	Grantee Survey	Fillable Fileable	Form

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