NCI Cancer Genetics Services Directory Web-Based Application and Update Mailer

Forms and Documents

Document Name	Status
Form 2 Update Mailer Form	New
Form 1 Application for Inclusion in NCI Cancer Genetics Services Directory (PDQ)(R) Form	New
Attach 4_Privacy Act Memo.pdf Supplementary Document	2011-05-11
Cover Memo_CGDirectory.doc Supplementary Document	2011-05-11
Attach 2_Criteria.pdf Supplementary Document	2011-05-11
SSA_CGeneticsDirectory_5-17-2011.docx Supporting Statement A	2011-05-17

IC Document Collections

IC ID	Document Title	Status
198118	Update Mailer Form	New
198117	Application for Inclusion in NCI Cancer Genetics Services Directory (PDQ)(R) Form	New

ICR Details

OMB Control No: 0925-0639	ICR Reference No: 201106-0925-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: NCI Cancer Genetics Services Directory Web-Based Application and Update Mailer
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/12/2011
	Date Received in OIRA: 06/15/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved
Responses	660	0	0
Time Burden (Hours)	180	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The NCI Cancer Genetics Services Directory on NCI's Web site Cancer.gov is a searchable collection of information about professionals who provide services related to cancer genetics (http://www.cancer.gov/cancertopics/genetics/directory). These services include cancer risk assessment, genetic counseling, and genetic susceptibility testing. The professionals have applied to be in the directory using an online application form and have met basic criteria outlined on the form. There are currently 567 genetics professionals listed in the directory. Approximately 30 new professionals are added to the directory each year. The directory has been collecting applications from 1996 through February, 2011 when they were informed to discontinue until OMB approval. The applicants are nurses, physicians, genetic counselors, and other professionals who provide services related to cancer genetics. The information collected on the application form includes name, professional qualifications, practice locations, and the area of specialization. The information is updated annually using a Web-based update mailer that mirrors the application form. The NCI Cancer Genetics Services Directory is a unique resource for cancer patients and their families who are looking for information about their family risk of cancer and genetic counseling. Collecting applicant information and verifying it annually by using the NCI Cancer Genetics Services Directory Application Form and Web-based Update Mailer is important for providing this information to the public and for keeping it current.

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Authorizing Statute(s): US Code: 42 USC 412(285A-1) Name of Law: Public Health Service Act
   US Code: 42 USC 413(285A-2) Name of Law: Public Health Service Act
  

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:
	76 FR 14034	03/15/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 28439	05/17/2011
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Application for Inclusion in NCI Cancer Genetics Services Directory (PDQ)(R)	1	Application for Inclusion in NCI Cancer Genetics Services Directory (PDQ?)
Update Mailer	2	Update Mailer

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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	660	0	0	0	0	660
Annual Time Burden (Hours)	180	0	0	0	0	180
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:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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

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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: 06/15/2011

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