ATTACH 2 Listing of Instruments

ATTACHMENT 2

LISTING OF DATA COLLECTION INSTRUMENTS

USED DURING CLEARANCE PERIOD

November 1, 2003 Through October 31, 2006

OMB #0925-0046

Date	I.D. No.	Instrument Description	Type of Respondent	N	Burden per Respondent		Total Burden
9/7/04	1a	Online Survey to Help Inform Changes to the NCI Cancer Bulletin	NCI staff, non-NCI health professionals, public	1500	10 mins		250 hrs
9/7/04	1b	Follow-Up Telephone Interview to Help Inform Changes to the NCI Cancer Bulletin	NCI staff, non-NCI health professionals, public	26	60 mins		26 hrs
8/2/04	2	Formative Research to Guide Development of the Cancer Biomedical Informatics Grid (caBIG)	Researchers	75	20 mins		25 hrs
9/30/04	3	Formative Research to Inform the Office of Cancer Complementary and Alternative Medicine’s (OCCAM) Program Development for CAM Researchers	Cancer researchers with CAM expertise	300	30 mins		150 hrs
9/30/04	4	Formative Research to Inform the Office of Cancer Complementary and Alternative Medicine’s (OCCAM) Program Development for CAM Practitioners	Practitioners with CAM expertise	132	30 mins		66 hrs
8/2/04	5	Telephone Questionnaire to Assess Promotional Efforts of the Body & Soul: A Celebration of Healthy Eating & Living Program Guide	CIS callers ordering the Body & Soul Guide	1000	2 mins		34 hrs
11/16/04	6	National Telephone Survey of the General Public on Their Knowledge, Attitudes, and Practices Regarding Fruit and Vegetable Consumption	General Public	1000	6 mins		100 hrs
11/29/04	7	National Telephone Survey of African American Males on Their Knowledge, Attitudes, and Practices Regarding Fruit and Vegetable Consumption	Public (African American Males)	880	11 mins		162 hrs
12/14/04	8	Formative Research to Further Develop and Improve NCI’s Consumer Advocate in Research and Related Activities (CARRA) Program	CARRA members	200	10 mins		33 hrs
12/21/04	9	Mail Questionnaire to Members of the Vietnamese American Medical Association to Understand Barriers to Cervical Cancer Screening Among Vietnamese Women	Members of Vietnamese American Medical Association	250	5 mins		21hrs
2/22/05	10	Online Survey to Assess Usefulness of and Inform Changes to NCI’s Cancer Progress Report	Health policy makers, cancer researchers, advocacy organization members	250	15 mins		63 hrs
5/13/05	11	Formative Research to Assess Public Attitudes and Behaviors Regarding Fruit and Vegetable Consumption	General public	165	25 mins		69 hrs
4/29/05	12	Formative Research to Assess Factors Affecting the Translation of Research into Cancer Care Practice	Cancer practitioners	1125	10 mins		188 hrs
5/31/05	13	Formative Research to Assess How Facing Forward: Life After Cancer Treatment Impacts Knowledge, Attitudes, and Practice of Cancer Patients’ Follow-Up Care	Cancer patients	840	10 mins		140 hrs
6/20/05	14	Survey to Determine User Preferences in Development of HINTS One-Page Summaries	Health communication professionals	200	15 mins		40 hrs
1/30/06	15	Formative Research to Assess Non-Government Funding Opportunities for Complementary and Alternative Medicine (CAM) Cancer Research	Non-government organizations	150	15 mins		43 hrs
2/21/06	16 a-e	Survey of Bureau of Primary Health Care (BPHC) Staff to Assess Factors that Contribute to Successful Dissemination of Planned Cancer Screening	BPHC staff of HRSA	260	20 mins		87 hrs
3/1/06	17	Formative Research to Understand the Needs, Attitudes, and Beliefs of NCI’s Consumer Advocates in Research and Related Activities (CARRA) Members	CARRA members	160	15 mins		40 hrs
4/21/06	18 a/b	Baseline and Follow-Up Survey to Determine Awareness Levels and Communications Preferences of Advocates Regarding Colorectal Cancer Clinical Trials	Colorecal cancer advocacy constituents	950	10 mins		150 hrs
6/7/06	19	NCI’s Center for Cancer Research Survey to Assess Health Care Professionals’ Awareness of NCI Intramural Clinical Trials	Health care professionals	250	5 mins		20 hrs
6/26/06	20	Formative Research to Assess Intermediate Outcomes of NCI’s “Plan, Link, Act, and Network with Evidence-Based Tools” (PLANET) Resource	Health care professionals	120	12 mins		24 hrs
TOTAL BURDEN HOURS						1731 hrs