Evaluation of Health Communication Messages for Infertility Prevention Campaign

ICR 200908-0920-003

OMB: 0920-0825

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement B
2009-07-20
Supplementary Document
2009-07-20
Supplementary Document
2009-07-20
Supplementary Document
2009-07-20
Supplementary Document
2009-07-20
Supplementary Document
2009-07-20
Supplementary Document
2009-07-20
Supplementary Document
2009-07-20
Supporting Statement A
2009-07-21
ICR Details
0920-0825 200908-0920-003
Historical Active
HHS/CDC
Evaluation of Health Communication Messages for Infertility Prevention Campaign
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/13/2009
Retrieve Notice of Action (NOA) 08/19/2009
  Inventory as of this Action Requested Previously Approved
10/31/2012 36 Months From Approved
1,114 0 0
481 0 0
0 0 0

This study will test health communication messages, concepts and products designed to raise awareness and increase Chlamydia trachomatis screening for girls and women age 15-25. Both exploratory and formative research will be used to test health communication messages and products about sexual/reproductive health and Chlamydia trachomatis.

US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  74 FR 6160 02/05/2009
74 FR 36491 07/23/2009
No

  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 1,114 0 0 1,114 0 0
Annual Time Burden (Hours) 481 0 0 481 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.

$349,462
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
Uncollected
Maryam Daneshvar 4046394604

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/19/2009


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