View Information Collection Request (ICR) Package
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View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
0925-0046
ICR Reference No:
201304-0925-003
Status:
Historical Active
Previous ICR Reference No:
201008-0925-004
Agency/Subagency:
HHS/NIH
Agency Tracking No:
19122
Title:
Formative Research, Pretesting, and Customer Satisfaction of NCI's Communication and Education Resources (NCI)
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
05/22/2013
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/19/2013
Terms of Clearance:
NIH will submit individual collections under this generic clearance to OMB. OMB will strive to provide feedback on the individual collections within ten working days, whenever possible. Standard incentive amount is remuneration is $40.00; requests for higher levels must be justified (e.g., very difficult recruitments), two-hour focus groups, etc.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2016
36 Months From Approved
Responses
33,000
0
0
Time Burden (Hours)
6,600
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
To help ensure that health messages, materials, strategies, and information services developed by NCI's Office of Communications (OC) have the potential of being received, understood, and accepted by their target audiences, OC will pretest them while they are under development. Respondents include cancer patients and their families, members of the public, health professionals, and organizations/groups that interface with these publics.
Authorizing Statute(s):
US Code:
42 USC 285a-2
Name of Law: NCI's education and information dissemination activities
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
78 FR 105
01/02/2013
30-day Notice:
Federal Register Citation:
Citation Date:
78 FR 20329
04/04/2013
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
13
IC Title
Form No.
Form Name
Assessing Progress Toward the Goals of the National Cancer Institute's Provocative Questions Initiative
1, 2, 3, 4, 5, 6
Attachment A Funded Applicants Survey Consent Form
,
Attachment B Funded Applicants Survey Screen Shots
,
Attachment C Unfunded Applicants Survey Consent Form
,
Attachment D Unfunded Applicants Survey Screenshot
,
Attachment F Interview/Protocol-Workshop Participants
,
Attachment G Interview Protocol-Grant Reviewer
Customer Feedback of the National Cancer Institute's Mouse Models of Human Cancers Consortium (NCI-MMHCC) Program
1, 2
Interview Guide
,
Consent Form
Customer Satisfaction Surveys of Participants in the New National Cancer Institute's Experimental Therapeutics Clinical Trials Network (ETCTN)
1, 2
PI Survey (ETCTN)
,
Research Staff Survey (ETCTN)
NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)
1, 4, 2, 3
Application Screenshot
,
Recommendation Letter
,
Application Survey
,
Contributor Survey
Open Call Usability Testing (NCI)
2, 3, 4, 5, 6, 7, 8, 1
Attachment 1 Screener Lay Consumers English
,
Attachment 3 Screener Lay Consumers Spanish
,
Attadchment 2 Screener Healthcare Professionals English
,
Attachment 4 Screener Healthcare Professionals Spanish
,
Attachment 7 Informed Consent Form English
,
Attachment 8 Informed Consent Form Spanish
,
Attachment 5 Usability Testing
,
Attachment 6 Usability Testing Spanish
Pilot Test Proposed Revisions to the NIH Biosketch
1, 2
Applicant Survey Screenshots
,
Reviewer Survey Screenshots
Pretest of Surveys for the Broadening Experiences in Scientific Training (BEST) Program
5, 1, 4, 2, 3, 6, 7
Screenshots of Graduate Student Entrance Survey
,
Screenshots of Graduate Student Interim Survey
,
Screenshots of Graduate Student Exit Survey
,
Screenshots of Graduate Student Post-Exit Survey
,
Screenshots of Postdoctoral Scientist Entrance Survey
,
Screenshots of Postdoctoral Scientist Exit Survey
,
Screenshots of Postdoctoral Scientist Post-Exit Survey
Study of Beginning Investigator Grants for Catalyzing Research (BIG CAT) Program
1
Attachment 2 BIG CAT Program Study Questionnaire
Sub-study #1_Assessing Baccalaureate Nursing Students' Feedback on Clinical Research Class and Intentions to Pursue Further Education or Training
1
CR Nurse Survey
Sub-study #2_Assessing Cancer Information Service (CIS) Clients Actions After Receiving Clinical Trial Information
1
CIS Survey
Sub-study #3_Playing for Life: Reducing the Negative Impact of Tobacco on Youth and Young Adults through Video Games, Gaming, and Gamification
1
Interview Guide
Sub-study #4_REVISED Smokefree Women Customer Satisfaction Study
1, 2, 3, 4
Consent
,
Screener
,
Initial Survey
,
Final Survey
Survey of the Training Landscape for Cancer Epidemiology
1, 2
Informed Consent
,
Telephone Interview Guide
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
33,000
0
0
0
33,000
0
Annual Time Burden (Hours)
6,600
0
0
0
6,600
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This information collection request is considered a reinstatement with change. The only change is a request for a decrease in burden. The purpose, use, methodology and design all remain the same as what has been submitted and approved previously. This Generic submission has been very active over the past couple of years and anticipates a continued activity at the current level. Since less than half of the previously requested burden hours was used over the course of the past three years, the program is asking for a slight reduction in burden hours. Additionally, with the approval of the NCI Fast Track submission (OMB No. 0925-0642), it is anticipated that some of the submissions that would have been a sub-study under this Generic, will now seek approval under the Fast Track. Another factor that should be considered is a reduction in the budget, thus reducing the number of anticipated sub-studies over the next three years.
Annual Cost to Federal Government:
$92,740
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?
No
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
Agency Contact:
Saleda Perryman
Common Form ICR:
No
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:
04/19/2013