The Study of Center for Global Health's (CGH) Workshops (NCI)

Forms and Documents

Document Name	Status
Form 16 Phase 2: Workshops on Tobacco Control Form and Instruction	New
Form 15 Phase 1: Workshops on Tobacco Control Form and Instruction	New
Form 14 Phase 2 Regional Grant Writing and Peer Review Workshop Form and Instruction	Modified
Form 13 Phase 1 Regional Grant Writing and Peer Review Workshop Form and Instruction	Modified
Form 11 Phase 2 Women's Cancer Program Summit Form and Instruction	Modified
Form 9 Phase 1 Women's Cancer Program Summit Form and Instruction	Modified
Form 8 Phase 2 Summer Curriculum in Cancer Prevention Form and Instruction	Modified
Form 7 Phase 1 Summer Curriculum in Cancer Prevention Form and Instruction	Modified
Form 6 Workshop in Cancer Control Planning and Implementation for Ministry of Health participants Phase 2 Form and Instruction	Modified
Form 5 Workshop in Cancer Control Planning and Implementation for Ministry of Health participants Phase 1 Form and Instruction	Unchanged
Form 4 Workshop in Cancer Control Planning and Implementation for non-Ministry of Health participants Phase 2 Form and Instruction	Unchanged
Form 3 Workshop in Cancer Control Planning and Implementation for non-Ministry of Health participants Phase 1 Form and Instruction	Unchanged
Form 2 Symposium on Global Cancer Research Phase 2 Form and Instruction	Unchanged
Form 1 Symposium on global Cancer Research Phase 1 Form and Instruction	Unchanged
30-DayFRN.pdf Supplementary Document	2016-06-02
CGH Workshops SSA Final 5.12.2016-1.docx Supporting Statement A	2016-06-02
SSB_CGH Workshop Eval_revision.053116.docx Supporting Statement B	2016-06-01
2_Study of Center for Global Health's Workshops Working Group Members.docx Supplementary Document	2015-04-27
1_Workshop Descriptions.doc Supplementary Document	2015-04-27
7F_Regional Grant Writing and Peer Review Workshop Invitation.doc Supplementary Document	2015-04-27
7E_ Women’s Cancer Program Summit Invitation (Spanish).doc Supplementary Document	2015-04-27
7D_Women’s Cancer Program Summit Invitation (English).docx Supplementary Document	2015-04-27
7C_Summer Curriculum in Cancer Prevention Invitation.doc Supplementary Document	2015-04-27
7B_Workshop in Cancer Control Planning and Implementation Invitations.docx Supplementary Document	2015-04-27
7A_Symposium on Global Cancer Research Invitation.docx Supplementary Document	2015-04-27
6_Office of Human Subjects Research Protection Exemption (OHSRP).pdf Supplementary Document	2015-04-27
5_Privacy Act Memo.pdf Supplementary Document	2015-04-27

IC Document Collections

IC ID	Document Title	Status
221767	Phase 2: Workshops on Tobacco Control Form and Instruction	New
221766	Phase 1: Workshops on Tobacco Control Form and Instruction	New
216329	Phase 2 Regional Grant Writing and Peer Review Workshop Form and Instruction	Modified
216328	Phase 1 Regional Grant Writing and Peer Review Workshop Form and Instruction	Modified
216327	Phase 2 Women's Cancer Program Summit Form and Instruction	Modified
216326	Phase 1 Women's Cancer Program Summit Form and Instruction	Modified
216325	Phase 2 Summer Curriculum in Cancer Prevention Form and Instruction	Modified
216324	Phase 1 Summer Curriculum in Cancer Prevention Form and Instruction	Modified
216323	Workshop in Cancer Control Planning and Implementation for Ministry of Health participants Phase 2 Form and Instruction	Modified
216322	Workshop in Cancer Control Planning and Implementation for Ministry of Health participants Phase 1 Form and Instruction	Unchanged
216321	Workshop in Cancer Control Planning and Implementation for non-Ministry of Health participants Phase 2 Form and Instruction	Unchanged
216320	Workshop in Cancer Control Planning and Implementation for non-Ministry of Health participants Phase 1 Form and Instruction	Unchanged
216318	Symposium on Global Cancer Research Phase 2 Form and Instruction	Unchanged
216317	Symposium on global Cancer Research Phase 1 Form and Instruction	Unchanged

ICR Details

OMB Control No: 0925-0722	ICR Reference No: 201606-0925-001
Status: Historical Active	Previous ICR Reference No: 201504-0925-007
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: The Study of Center for Global Health's (CGH) Workshops (NCI)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/19/2016
	Date Received in OIRA: 06/03/2016
Terms of Clearance: Prior terms Continue: Modifications to survey instruments or new surveys (including modifications or new instruments derived from the included question bank) must be submitted for review and approval via a non-substantive change request prior to fielding of those instruments.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2019	36 Months From Approved	06/30/2018
Responses	2,317	0	2,047
Time Burden (Hours)	940	0	805
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection request is a revision for three years. This information collection study is to collect stakeholder feedback from past and future workshops; to assess the effectiveness of CGH workshops, which seek to assess abilities of the workshop attendees and respective countries to implement national cancer control programs; inform content and improve delivery of future workshops, and to systematically assess CGH’s contribution.

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Authorizing Statute(s): US Code: 42 USC 285 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:
	81 FR 10638	03/08/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 35373	06/02/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 14

IC Title	Form No.	Form Name
Phase 2 Regional Grant Writing and Peer Review Workshop	14	Regional Grant Writing Workshop
Symposium on global Cancer Research Phase 1	1	Symposium on Global Cancer Research Phase 1
Workshop in Cancer Control Planning and Implementation for non-Ministry of Health participants Phase 2	4	Workshop in Cancer Control Planning and Implementation (NMOH) Phase 2
Symposium on Global Cancer Research Phase 2	2	Symposium on Global Cancer Research Phase 2
Workshop in Cancer Control Planning and Implementation for non-Ministry of Health participants Phase 1	3	Workshop in Cancer Control Planning and Implementation (NMOH)
Phase 1: Workshops on Tobacco Control	15	Workshops on Tobacco Control
Phase 2: Workshops on Tobacco Control	16	4H Workshops on Tobacco Control
Workshop in Cancer Control Planning and Implementation for Ministry of Health participants Phase 1	5	Workshop in Cancer Control Planning and Implementation (MOH)
Phase 1 Summer Curriculum in Cancer Prevention	7	Summer Curriculum in Cancer Prevention
Phase 2 Summer Curriculum in Cancer Prevention	8	Summer Curriculum in Cancer Prevention
Phase 1 Women's Cancer Program Summit	10, 9	Women's Cancer Program Summit ,   Women's Cancer Program Summit (Spanish)
Phase 1 Regional Grant Writing and Peer Review Workshop	13	Regional Grant Writing Workshop
Workshop in Cancer Control Planning and Implementation for Ministry of Health participants Phase 2	6	Workshop in Cancer Control Planning and Implementation (MOH)
Phase 2 Women's Cancer Program Summit	11, 12	Women's Cancer Program Summit (English) ,   Women's Cancer Program Summit (Spanish)

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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	2,317	2,047	0	270	0	0
Annual Time Burden (Hours)	940	805	0	135	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 study is being revised to include the Workshops on Tobacco Control Survey. In line with other workshops included in this study, we are seeking to collect information on new and existing partnerships, cancer research, cancer control planning and implementation activities, and information dissemination, with regard to the Workshops on Tobacco Control. Retrospective and prospective workshop data will be collected using this instrument as well as is the case with the other instruments. This is will also cause an increase in burden from 805 to 941 an increase of 135.

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Annual Cost to Federal Government: $92,414

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

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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: 06/03/2016

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