OMB control number

Understanding the Needs of Ovarian Cancer Survivors

OMB 0920-1314 · HHS/CDC.

OMB 0920-1314

Ovarian cancer survivors, a group whose needs are unique compared with other cancer survivor groups due to a variety of factors including a lack of screening options, typical late stage diagnosis, and lower survival rates. The purpose of this study is to gather information on the needs of ovarian cancer survivors in order to help public health programs develop and implement interventions aimed at improving survivor health.

The latest form for Understanding the Needs of Ovarian Cancer Survivors expires 2021-12-31 and is listed under ICR 202006-0920-008.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920- Att 3a_Mail-In or Web-based Questionnaire	Form and Instruction
Form 0920- Att 3c_Web-based Screener (ONLY)	Form
Form 0920- Att 3b_ Web-Based Screener & Informed Consent	Form and Instruction
Form 0920- Att 3b_Web-based Questionnaire	Form and Instruction
OCS Att 5b web-based FAQ Final.pdf	Supplementary Document
OCS Att 4c Mailed Initial Questionnaire State Cancer Registry Recruitment Reminder Final.docx	Supplementary Document
OCS Att 4d Mailed Final Questionnaire State Cancer Registry Recruitment Reminder Final.docx	Supplementary Document
OCS Att 4b mailed FAQs Final.docx	Supplementary Document
OCS Att 4a Mailed Invite Ltr State Cancer Registry Recruitment Final.docx	Supplementary Document
OCS Att 7a NORC approval Final.doc.pdf	Supplementary Document
OCS Att 2 60 day published Final.pdf	Supplementary Document
OCS Att 1 Sec 301 PHSA Final.pdf	Supplementary Document
OCS_SSB_Final_EOP (09-28-20)_comments_clean 03DEC2020.docx	Supporting Statement B
OCS SSA_Final_EOP (09-28-20)_comments_clean 03DEC2020.docx	Supporting Statement A
Att 3a_Mail-In or Web-based Questionnaire	Form and Instruction
Att 3c_Web-based Screener (ONLY)	Form
Att 3b_ Web-Based Screener & Informed Consent	Form and Instruction
Att 3b_Web-based Questionnaire	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
202006-0920-008	New collection (Request for a new OMB Control Number)	2020-06-16		Approved with change

OMB Details

Att 3b_Web-based Questionnaire

Federal Enterprise Architecture: Health - Illness Prevention

Information collection instruments
Form	Name	Electronic access	Type
Form 0920-	Ovarian Cancer Survivorship Survey	Fillable Fileable	Form and instruction

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