Testing Business-Case Videos for CDC's Division of Community Health

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 212298

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Form
Form
Form
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Testing Business-Case Videos for CDC's Division of Community Health 0920-14AND
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Interview Guide for Videos Attachment 3_Interview guide for video testing with businesspeople (05-15-14) DCH Video Testing.docx No   Printable Only
Form none Eligibility Screener for Business people Attachment 4_Eligibility screener for businesspeople (05-15-14) DCH Video Testing.docx Yes Yes Fillable Fileable
Form none Survey for Video Testing Attachment 5_Survey for video testing with awardees (05-15-14) DCH Video Testing.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

300 0
   
Individuals or Households
 
   100 %

  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 0 300 0 0 0
Annual IC Time Burden (Hours) 125 0 125 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Expedited Review HMTS Expedited Review Form (07-01-14) DCH Video Testing.docx 07/09/2014
Research Plan Attachment 1_Research plan and burden table (5-15-14) DCH Video Testing .docx 07/09/2014
Videos for Testing/Links Attachment 2_Videos for testing (05-15-14) DCH Video Testing.docx 07/09/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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