Pedometer Profile

Form Approved

OMB No. 0990-

Exp. Date XX/XX/20XX

Office on Women’s Health (OWH) Living Healthier, Living Longer

The following screenshot was pulled from the FitBit website. To create a pedometer-related profile, respondents must complete the following information.

After completing a profile, we will activate each users’ pedometer and respondents will have no additional burden. Data will be pulled manually by our research team using the FitBit Leaderboard function, which will be viewable only to those individuals included in our intervention. The following screenshot shows an example Leaderboard currently published on the FitBit website. Note that the example below is a public Leaderboard; thus, names are pictures are available. For our intervention, however, this information will be private and identities will be protected.

Steps data can be pulled in 7-day or 30-day increments.

USER NAME

USER NAME

USER NAME

USER NAME

USER NAME

USER NAME

USER NAME

USER NAME

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-xxxx . The time required to complete this information collection is estimated to average 4 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer