OMB control number

[NCCDPHP] Evaluation of a Prostate Cancer Decision Aid

OMB 0920-1438 · HHS/CDC.

OMB 0920-1438

To conduct a randomized controlled trial (RCT) to determine if CDC’s online, simulated, human decision aid module, Talk to Nathan About Prostate Cancer Screening (treatment arm), is effective in improving knowledge, overcoming health literacy barriers, and resolving decisional conflict compared to a standard decision aid (control arm 1) and standard education materials (control arm 2). Also, to identify barriers and best practices for incorporating Talk to Nathan About Prostate Cancer Screening into the flow of primary care practice.

The latest form for [NCCDPHP] Evaluation of a Prostate Cancer Decision Aid expires 2027-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-24CB Pre-exposure Survey Form
Form 0920-24CB Patient Eligibility Screener Form
Form 0920-24CB Provider Survey Form
Form 0920-24CB Clinic Coordinator Interview Form
Form 0920-24CB Post-clinic Survey Form
Form 0920-24CB User Experience Interview Form
Form 0920-24CB Usability Survey Form
Form 0920-24CB Post-exposure survey Form
Change Request for CDC Prostate Cancer Screening Decision Aid Randomized Controlled Trial_2025April17.docx Justification for No Material/Nonsubstantive Change
Attachment 13_Approved Privacy Narrative.pdf Supplementary Document
4_Prostate Cancer_SSB.docx Supporting Statement B
Attachment 14_Institutional Review Board Approval.docx Supplementary Document
Attachment 03_Evaluation Questions and Indicators.docx Supplementary Document
Attachment 02_Study Design Graphic.pdf Supplementary Document
Attachment 01_Authorizing Legislation.pdf Supplementary Document
_List of Attachments_SSA & SSB.docx Supplementary Document
3_Prostate Cancer_SSA.docx Supporting Statement A
Pre-exposure Survey Form
Patient Eligibility Screener Form
Provider Survey Form
Clinic Coordinator Interview Form
Post-clinic Survey Form
User Experience Interview Form
Usability Survey Form
Post-exposure survey Form

All Historical Document Collections

202505-0920-004	No material or nonsubstantive change to a currently approved collection	2025-05-14
202407-0920-009 Approved without change	New collection (Request for a new OMB Control Number)	2024-08-06

OMB Details

Post-exposure survey

Federal Enterprise Architecture: Health - Illness Prevention

Form 0920-24CB	Post Exposure Survey _English	Fillable Fileable	Form
Form 0920-24CB	Post Exposure Survey _Spanish	Fillable Fileable	Form

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