Colorectal Cancer Screening Survey

ICR 201405-0920-003

OMB: 0920-1023

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Form
New
Supplementary Document
2014-05-05
Supplementary Document
2014-05-05
Supplementary Document
2014-05-05
Supplementary Document
2014-05-05
Supplementary Document
2014-05-05
Supplementary Document
2014-05-05
Supporting Statement B
2014-05-05
Supporting Statement A
2014-05-05
IC Document Collections
ICR Details
0920-1023 201405-0920-003
Historical Active
HHS/CDC 13AHL
Colorectal Cancer Screening Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/20/2014
Retrieve Notice of Action (NOA) 05/21/2014
  Inventory as of this Action Requested Previously Approved
06/30/2015 12 Months From Approved
2,030 0 0
812 0 0
0 0 0

The Centers for Disease Control and Prevention (CDC) would like to conduct a Web-based stated preferences survey of 2,000 respondents to quantitatively assess consumer preferences for colorectal cancer (CRC) screening procedures and factors that affect those preferences.

US Code: 42 USC 301.241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  78 FR 54653 09/05/2013
79 FR 27308 05/13/2014
Yes

  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 2,030 0 0 2,030 0 0
Annual Time Burden (Hours) 812 0 0 812 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection request.

$208,681
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Carol Marsh 404 639-4773 cww6@cdc.gov

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/21/2014


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