NCI Cancer Genetics Services Directory Web-Based Application and Update Mailer

Forms and Documents

Document Name	Status
Form 2 Web-based Update Mailer Attachment 3 Form and Instruction	Modified
Form 1 Web-based Application Form Form and Instruction	Modified
30day FRN2017-24786.pdf Supplementary Document	2017-11-16
SSA Cancer Genetics Directory Final.docx Supporting Statement A	2017-11-08
Attachment 5 Privacy Impact Assessment.xml Supplementary Document	2014-07-30
Attachment 4 Privacy Act Memo.pdf Supplementary Document	2014-07-30
Attachment 2 Inclusion Criteria.docx Supplementary Document	2014-07-30

IC Document Collections

IC ID	Document Title	Status
212546	Web-based Update Mailer Attachment 3 Form and Instruction	Modified
212545	Web-based Application Form Form and Instruction	Modified

ICR Details

OMB Control No: 0925-0639	ICR Reference No: 201711-0925-004
Status: Active	Previous ICR Reference No: 201407-0925-007
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: NCI Cancer Genetics Services Directory Web-Based Application and Update Mailer
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: 02/02/2018
	Date Received in OIRA: 11/16/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved
Responses	660	0	0
Time Burden (Hours)	180	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a reinstatement without change request for OMB clearance for three years. The NCI’s Office of Communications and Public Liaison has created the NCI Cancer Genetics Services Directory on NCI’s website Cancer.gov. This directory is a searchable collection of information about professionals who provide services related to cancer genetics.

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Authorizing Statute(s): US Code: 42 USC 413(285A-2) Name of Law: Public Health Service Act
   US Code: 42 USC 412(285A-1) 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:
	82 FR 41971	09/05/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 53510	11/16/2017
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
Web-based Application Form	1	Genetic Web-based Application
Web-based Update Mailer Attachment 3	2	Web-based Update Mailer

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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	660	0	0	660	0	0
Annual Time Burden (Hours)	180	0	0	180	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: Reinstatement without change

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Annual Cost to Federal Government: $20,504

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 11/16/2017

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