Development of an Evaluation Plan to Evaluate Grantee Attainment of Selected Activities of Comprehensive Cancer Priorities

Forms and Documents

Document Name	Status
National Comprehensive Cancer Control Program Focus Groups Form and Instruction	New
National Comprehensive Cancer Control Program Survey Form and Instruction	New
Supporting Statement_Part B_02062013.doc Supporting Statement B	2013-03-21
Att 2B_Response to Public Comments.docx Supplementary Document	2013-03-21
Att 1B_Public Health Service Act.doc Supplementary Document	2013-03-21
Att 1A_Authorization for Program.docx Supplementary Document	2013-03-21
Att 11_Focus Group Questions and Answer_011413_Revised.doc Supplementary Document	2013-03-21
Att 10_Focus Group confirmation email_011413_Revised.doc Supplementary Document	2013-03-21
Att 9_Focus Group invitation email_011413_Revised.doc Supplementary Document	2013-03-21
Att 7_Survey Thank you email_011413_Revised.doc Supplementary Document	2013-03-21
Att 6_Survey reminder email_011413_Revised.doc Supplementary Document	2013-03-21
Att 5_Survey invitation email_011413_Revision.doc Supplementary Document	2013-03-21
Att 4_Survey intro email_011413_Revised.doc Supplementary Document	2013-03-21
Supporting Statement_Part A_03072013.doc Supporting Statement A	2013-03-21

IC Document Collections

IC ID	Document Title	Status
206292	National Comprehensive Cancer Control Program Focus Groups Form and Instruction	New
206291	National Comprehensive Cancer Control Program Survey Form and Instruction	New

ICR Details

OMB Control No: 0920-0971	ICR Reference No: 201303-0920-015
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 19174
Title: Development of an Evaluation Plan to Evaluate Grantee Attainment of Selected Activities of Comprehensive Cancer Priorities
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/22/2013
	Date Received in OIRA: 03/29/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2015	24 Months From Approved
Responses	89	0	0
Time Burden (Hours)	65	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC plans to conduct an online survey and in-person focus groups to assess the extent to which grantees are implementing NCCCP priorities and the extent to which selected CDC capacity-building tools support implementation of these priorities.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act - Research and Investigations
   US Code: 42 USC 247b Name of Law: Public Health Service Act - Project grants for preventive health services
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 47394	08/08/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 17407	03/21/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
National Comprehensive Cancer Control Program Survey	None	National Comprehensive Cancer Control Program Survey
National Comprehensive Cancer Control Program Focus Groups	None	Focus Group Consent From

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ICR Summary 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	89	0	0	89	0	0
Annual Time Burden (Hours)	65	0	0	65	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection request.

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Annual Cost to Federal Government: $249,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/29/2013

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