MAMMOGRAPHY FACILITIES SURVEY

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
111703	MAMMOGRAPHY FACILITIES SURVEY	Migrated

ICR Details

OMB Control No: 0925-0369	ICR Reference No: 199111-0925-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: MAMMOGRAPHY FACILITIES SURVEY
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/30/1992
	Date Received in OIRA: 11/01/1991
Terms of Clearance: This information collection request is approved subject to the following conditions: 1)The selection of particular facilities in phase II is a device for reaching the ultimate sampling units - follow-up mammography cases. The design provides an adequate national sample of cases and nominal coverage of cases arising in rural vs. urban facilities. However, it does not support analysis of the clinical follow-up data as it relates to facility characteristics beyond the rural/urban distinction except for aggregate characteristics that can be associated with the final sample of cases. The facility sample size and selection methodo logy make such analysis have no value. Analysis of phase II data shou treat the facilities selected as primary sampling units anonymous. OMB, however, recognizes the importance of understanding the rela- tionship of mammography facility characteristics to follow-up practice and outcomes, and encourages NCI to develop a study that would support analysis of the relationship. 2) NCI and OMB will mutually agree on the following issues before the survey is administered: a) the recall frame for questions A5-A7; b) r framing the questions on inspection of mammography equipment to gain information on all inspections; c) adding queries on experience, educa tion and other training to B18-B20 and C1-C3; and d) revising response categories to question 29 on insurers.(remarks continue)

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/1993	02/28/1993
Responses	1,529	0	0
Time Burden (Hours)	2,467	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: NATIONALLY REPRESENTATIVE DATA ON CHARACTERISTICS OF FACILITIES OFFERI SCREENING MAMMOGRAPHY EXAMINATIONS ARE NEEDED. THE DATA WILL BE USED BY RESEARCHERS AND FEDERAL, STATE AND LOCAL HEALTH OFFICIALS IN EVALUATING AND FORMULATING POLICIES DESIGNED TO OPTIMIZE THE BENEFITS SCREENING MAMMOGRAPHY TO REDUCE MORBIDITY AND MORTALITY FROM BREAST CANCER. THE AFFECTED PUBLIC ARE OPERATORS OF MAMMOGRAPHY FACILITIES

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
MAMMOGRAPHY FACILITIES SURVEY

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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	1,529	0	0	1,529	0	0
Annual Time Burden (Hours)	2,467	0	0	2,467	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:

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

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: 11/01/1991

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