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:
201605-0925-007
Status:
Historical Active
Previous ICR Reference No:
201304-0925-003
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:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
07/25/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/31/2016
Terms of Clearance:
Previous terms continue: 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
07/31/2019
36 Months From Approved
07/31/2016
Responses
108,000
0
33,000
Time Burden (Hours)
7,200
0
6,600
Cost Burden (Dollars)
0
0
0
Abstract:
This is a request for OMB to approve a revision for this generic submission for three years. As part of NCI’s mandate from Congress to disseminate information on cancer research, detection, prevention, and treatment, the Institute develops a wide variety of messages and materials. Testing these messages and materials assesses their potential effectiveness in reaching and communicating with their intended audience while they are still in the developmental stage and can be revised.
Authorizing Statute(s):
US Code:
42 USC 285a-2
Name of Law: Public Health Service Act
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:
81 FR 12054
03/09/2016
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 103
05/27/2016
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
12
IC Title
Form No.
Form Name
Evaluation of the Cancer Control P.L.A.N.E.T.
1
Online Survey
Feedback about SPORE Webpage Information and Instructions (NCI)
1, 2
SPORE Webpage Instructions
,
SPORE webpage survey
Formative assessment to inform the redesign of the Research Tested Intervention Programs (RTIPS) website
1
Interview Guide
Market Research to Inform Next Generation Physician's Data Query (PDQ) (NCI)
1, 2, 3, 5, 6, 7, 9, 12, 14, 16, 4, 8, 10, 11, 13, 15, 17, 18
Patient Screener (screenshot)
,
Caregiver Screener (screenshot)
,
Medical Oncologist Screener (screenshot)
,
PCP Screener (screenshot)
,
Oncology Nurse Screener (screenshot)
,
Non-Oncologist Clinician Screener (screenshot)
,
Radiation Oncologist Screener (screenshot)
,
Medical Director Screener (screenshot)
,
Navigator Screener (screenshot)
,
Patient Interview
,
Caregiver Interview
,
Oncologist Interview
,
PCP Interview
,
Oncology Nurse Interview
,
Non-Oncologist Clinician Interview
,
Radiation Oncologist Interview
,
Medical Director Interview
,
Navigator Interview
Maternal Obesity
3, 1, 2
Online Prescreener
,
Telephone Screener NICHD NCMHEP Maternal Obesity
,
Discussion Guide NICHD NCMHEP Maternal Obesity
National Cancer Institute Cohort Consortium Progress Report
1
Working Group Progress Report Questions
Personas and Experience Mapping Project (NCI)
1, 2
Screenshot Researcher Personas
,
Interview Guide Personas Project
Pilot Study for The Center for Cancer Research (CCR) Faculty Recruitment Application Website (NCI)
2, 1, 3
Application form
,
Feedback survey
,
reference request
Pilot Survey Communications Fellowship (NCF) Program Application (NCI)
2, 3, 1
NCF Applications
,
NCF Feedback Survey
,
NCF References
Pilot Survey Introduction to Cancer Research Careers (ICRC) (NCI)
3, 1, 2
ICRC Application
,
ICRC Pilot Survey
,
ICRC Reference Module
Pilot Testing Center for Cancer Training (CCT) Application Form for electronic Individual Development Plan (eIDP) (NCI)
1, 2, 3, 4
Initial Trainees screenshots
,
Exit Survey Part 1 Alumni
,
Exit Survey Part 2 - Feedback
,
Pilot Feedback Survey
Smokefree 60+ Intercept Survey
1
Survey
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
108,000
33,000
0
75,000
0
0
Annual Time Burden (Hours)
7,200
6,600
0
600
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 request for OMB to approve a revision for this generic submission. In the previous submission we inadvertently only showed the annualized burden of 33,000, and now we are reflecting the burden for the requested 3 years.
Annual Cost to Federal Government:
$568,534
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:
Tawanda Abdelmouti 240 276-5530 ta401@nih.gov
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:
05/31/2016