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Communities Putting Prevention to Work (CPPW) National Media Initiative -- Message Testing
CDC and ATSDR Health Message Testing System
OMB: 0920-0572
IC ID: 208865
OMB.report
HHS/CDC
OMB 0920-0572
ICR 201111-0920-003
IC 208865
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0572 can be found here:
2024-10-18 - Revision of a currently approved collection
2021-08-31 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Attachment 2_Eligibility Screener 08 13 13v3.docx
Other-Word
Attachment 3_Interview Protocol 08 13 13v3.docx
Other-Word
Attachment 4_Messages for Testing 08 13 13.docx
Other-Word
Attachment 1_Research Plan - Burden Table 08 13 13v3.docx
Attachment 1_Research Plan - Burden Table 08 13 13v3
IC Document
HMTS Expedited Review Form 08 13 13v3.docx
HMTS Expedited Review Form 08 13 13v3
IC Document
List of Attachments 08 8 13.docx
List of Attachments 08 8 13
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Communities Putting Prevention to Work (CPPW) National Media Initiative -- Message Testing
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Word
Attachment 2_Eligibility Screener 08 13 13v3.docx
Yes
Yes
Fillable Printable
Other-Word
Attachment 3_Interview Protocol 08 13 13v3.docx
Yes
Yes
Fillable Printable
Other-Word
Attachment 4_Messages for Testing 08 13 13.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
300
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
300
0
0
0
0
0
Annual IC Time Burden (Hours)
60
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 1_Research Plan - Burden Table 08 13 13v3
Attachment 1_Research Plan - Burden Table 08 13 13v3.docx
09/25/2013
HMTS Expedited Review Form 08 13 13v3
HMTS Expedited Review Form 08 13 13v3.docx
09/25/2013
List of Attachments 08 8 13
List of Attachments 08 8 13.docx
09/25/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.