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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-0706 NPCR - Program Evaluation Instrument (NPCR-PEI) (Online) Form
Form 0920-0706 NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper) Form
0920-0706 Attachment 11_Human subjects non-research determination.pdf Supplementary Document
0920-0706 Attachment 10_NPCR Program Evaluation Results 2022.pdf Supplementary 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.pdf Supplementary Document
0920-0706 Attachment 5_Cancer Registries Amendment Act - Public Law 102-515.pdf Supplementary Document
0920-0706 Attachment 3_Summary of Changes 2026 PEI.docx Supplementary Document
0920-0706_2026 Privacy-Narrative-Form_01022025.pdf Supplementary Document
0920-0706 Attachment 3C_PEI 2022-2024 Changes_2021_Final.docx Supplementary Document
0920-0706 Attachment 3D_Draft Sample Letter w Inst_Final.docx Supplementary Document
0920-0706 Attachment 7_0706_IRB Determination.docx.pdf Supplementary Document
0920-0706 Support Statement-B.docx Supporting Statement B
0920-0706 Attachment 6_National Results 2018 Survey_Final.pdf Supplementary Document
0920-0706 Attachment 5_ NPCR Program Standards_Final.pdf Supplementary 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.pdf Supplementary 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.pdf Supplementary Document
0920-0706 Support Statement-A-508 REV_02052025.docx Supporting Statement A
NPCR - Program Evaluation Instrument (NPCR-PEI) (Online) Form
NPCR - Program Evaluation Instrument (NPCR-PEI) (Paper) Form

All Historical Document Collections

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

OMB Details

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

Federal Enterprise Architecture: Health - Immunization Management

Form 0920-0706

NPCR PEI Survey 2026_ Electronic

Fillable Fileable

Form

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