National Center for Complementary and Alternative Medicine (NCCAM) Communications Program Planning and Evaluation

Forms and Documents

Document Name	Status
Form 1 NCCAM Health Professional Portal Form and Instruction	New
Form 1 Health Professional Portal Form and Instruction	New
Form 1 Reader Survey: NCCAM Newsletter Form	New
Form 1 Health Care Providers Form and Instruction	New
Form 1 Health Care Providers Form and Instruction	New
Form Form #1 Short CAM Questionnaire Form and Instruction	New
memo 0530.doc Supplementary Document	2008-09-17
consumer materials survey 7 29 08 (7).doc Supplementary Document	2008-09-17
nonsubstantive change 0530.doc Justification for No Material/Nonsubstantive Change	2008-09-17

IC Document Collections

IC ID	Document Title	Status
194132	NCCAM Health Professional Portal Form and Instruction	New
192334	Health Professional Portal Form and Instruction	New
189723	Reader Survey: NCCAM Newsletter Form	New
188807	Health Care Providers Form and Instruction	New
187569	Health Care Providers Form and Instruction	New
186837	Short CAM Questionnaire Form and Instruction	New

ICR Details

OMB Control No: 0925-0530	ICR Reference No: 200809-0925-003
Status: Historical Active	Previous ICR Reference No: 200706-0925-003
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: National Center for Complementary and Alternative Medicine (NCCAM) Communications Program Planning and Evaluation
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/07/2008
	Date Received in OIRA: 09/18/2008
Terms of Clearance: IC's within this generic ICR are approved to conduct only 1) formative research to inform future campaigns/messages and 2) evaluations where results will be for internal agency use only. Approval is not granted for evaluations where results will be shared outside the agency. Examples of evaluations that are listed in the supporting statement but which are not appropriate for generic ICRs include "evaluations of how well programs reach and resonate with their intended audiences," "posttest materials and messages during the outcome evaluation phase," and "program outcome evaluations." Full ICRs should be submitted for evaluation activities like these to allow for full notice and comment. For ICs submitted under this generic ICR, NIH agrees to submit individual colletions to OMB as they are implemented, along with all necessary supporting statements (to include information about research design and analysis, incentives, burden estimates, approaches to address non-response bias, etc). OMB will aim to review each IC submission within 14 days; however, OMB approval should not be assumed if not explicitly granted, even if 14 days have elapsed since submission. Moreover, NIH will not provide assurances of confidentiality to respondents unless NIH can cite the statute which grants NIH the authority to provide such assurances.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	10/31/2010	10/31/2010
Responses	2,440	0	2,440
Time Burden (Hours)	712	0	712
Cost Burden (Dollars)	0	0	0

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Abstract: NCCAM provides the public, patients, families, health care providers, complementary and alternative medicine (CAM) practitioners, and other with the latest scientifically based information on CAM and information about NCCAM's programs through a variety of channels. NCCAM requests a revision of its clearance to collect data from individuals and organizations in order to conduct (1) formative research and (2) evaluation of activities, using both qualitative and quantitative methods. Goals of NCCAM's Office of Communications and Public Liaison include raising awareness of issues unique to CAM so that the public and health care providers can make better, more informed decisions, and establishing NCCAM as the source for credible, authoritative CAM information.

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Authorizing Statute(s): PL: Pub.L. 105 - 277 601 Name of Law: null
   US Code: 42 USC 241 Name of Law: null
   US Code: 42 USC 287c-21 Name of Law: null
   US Code: 42 USC 288-5 Name of Law: null
   EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

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:
	72 FR 14587	03/28/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 34267	06/21/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
NCCAM Health Professional Portal	1	Discussion Guide
Health Care Providers	1	survey
Reader Survey: NCCAM Newsletter	1	survey
Health Professional Portal	1	survey
Short CAM Questionnaire	Form #1	Short CAM Questionnaire
Health Care Providers	1	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	2,440	2,440	0	0	0	0
Annual Time Burden (Hours)	712	712	0	0	0	0
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: $115,000

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]? 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: 09/18/2008

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