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

Forms and Documents

Document Name	Status
Form 1 NCCAM Information Products In-Person Focus Groups Form and Instruction	New
Form 1 NCCAM Professional Association Leadership Interview Guide Form and Instruction	New
OMB request_Section B_080910.docx Supporting Statement B	2010-09-29
SAMPLE QUESTIONS FOR OMNIBUS SURVEY.docx Supplementary Document	2010-11-01
SAMPLE NCCAM Patient Focus Group.docx Supplementary Document	2010-11-01
SAMPLE INTERCEPT INTERVIEW SCRIPT.docx Supplementary Document	2010-11-01
SAMPLE INTERCEPT INTERVIEW QUESTIONNAIRE.docx Supplementary Document	2010-11-01
SAMPLE IN DEPTH INTERVIEW INSTRUMENT.docx Supplementary Document	2010-11-01
SS.A 0530[3].docx Supporting Statement A	2010-12-10

IC Document Collections

IC ID	Document Title	Status
204196	NCCAM Information Products In-Person Focus Groups Form and Instruction	New
200575	NCCAM Professional Association Leadership Interview Guide Form and Instruction	New

ICR Details

OMB Control No: 0925-0530	ICR Reference No: 201012-0925-002
Status: Historical Active	Previous ICR Reference No: 200809-0925-003
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: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/17/2011
	Date Received in OIRA: 12/13/2010
Terms of Clearance: Approved consistent with previous 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. For ICs submitted under this generic ICR, NIH agrees to submit individual colletions to OMB, 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	01/31/2014	36 Months From Approved
Responses	7,500	0	0
Time Burden (Hours)	2,034	0	0
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:
	75 FR 52350	08/25/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 69086	11/10/2010
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
NCCAM Information Products In-Person Focus Groups	1	NCCAM Focus Group Discussion Guiide
NCCAM Professional Association Leadership Interview Guide	1	Interview Guide

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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	7,500	0	0	5,060	0	2,440
Annual Time Burden (Hours)	2,034	0	0	1,322	0	712
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 is being sent as a reinstatement due to a technical glitch in ICRAS. Burden hours have been adjusted and relects an increase in respondents.

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Annual Cost to Federal Government: $326,100

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: 12/13/2010

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