CDC and ATSDR Health Message Testing System

ICR 201501-0920-003

OMB: 0920-0572

Federal Form Document

Forms and Documents
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Name
Status
Form and Instruction
Unchanged
Form and Instruction
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Form
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Form
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Form
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Form and Instruction
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Form
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Form and Instruction
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Form and Instruction
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Justification for No Material/Nonsubstantive Change
2015-01-05
Supporting Statement B
2011-11-09
Supplementary Document
2011-11-09
Supplementary Document
2011-11-09
Supplementary Document
2011-11-09
Supplementary Document
2011-11-09
Supplementary Document
2011-11-09
Supplementary Document
2011-11-09
Supplementary Document
2011-11-09
Supplementary Document
2011-11-09
Supplementary Document
2011-11-09
Supplementary Document
2012-01-18
Supplementary Document
2011-11-09
Supplementary Document
2011-11-09
Supporting Statement A
2011-11-09
IC Document Collections
IC ID
Document
Title
Status
214497 New
214010 Unchanged
213762 Unchanged
212361 Unchanged
212298 Unchanged
211907 Unchanged
211317 Unchanged
210596 Unchanged
209309 Unchanged
208865 Unchanged
208746 Unchanged
208617 Unchanged
207551 Unchanged
207102 Unchanged
206414 Unchanged
205934 Unchanged
205130 Unchanged
204153 Unchanged
203482 Unchanged
201132 Unchanged
ICR Details
0920-0572 201501-0920-003
Historical Active 201111-0920-003
HHS/CDC 15JW
CDC and ATSDR Health Message Testing System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/06/2015
Retrieve Notice of Action (NOA) 01/06/2015
Approved consistent with the following terms of clearance: For each information collection, a GenIC information collection request will be prepared and submitted to OMB for review and approval. Any changes to the ICR will also be submitted to OMB for review and approval.
  Inventory as of this Action Requested Previously Approved
02/28/2015 02/28/2015 02/28/2015
55,575 0 55,575
7,510 0 7,410
0 0 0

CDC would like to process a GenIC for information collection scheduled to ocurr in January-February w015 (i.e., before the Extension ICR can be processed). The number of responses available in the current HMTS inventory is sufficient ot process the GenIC, however, the number of burden hours is insufficient. CDC requests a minor adjustment (Increase) in the number of burden hours currently allocated to the HMTS.

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

Not associated with rulemaking

  76 FR 68358 07/26/2011
76 FR 189 09/29/2011
No

20
IC Title Form No. Form Name
Msg Testing for (3) Expedited Reviews--Detonation of an Improv Nuc Devise (Span), AND Impact of a Truck Driver Pub Hth Prac Proj, AND Dissemination of Occup Safety & Hlth Materials thru Mex Consul none, none, none, none Screening Instrument ,   Truck Driver Opinion Survey ,   Exit Survey_Spanish ,   Exit Survey_English Translation
Pandemic Influenza Nonpharmaceutical Intervention Message Testing none, none Screener ,   Moderator's Guide
CHMC-Testing Educational Campaign Materials with African American and Hispanic Audiences
Act Against AIDS Campaign none, none, none, none, none, none Invitation - General Population ,   Screener - MSM ,   Interview - MSM ,   Screener - HIV+ ,   Interview - HIV+ ,   Interview - General Population
Testing Business-Case Videos for CDC's Division of Community Health none, none, none Interview Guide for Videos ,   Eligibility Screener for Business people ,   Survey for Video Testing
Agency for Toxic Substances and Disease Registry Task Order 15: Message Testing 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572 ATSDR-Message-Testing_Attachment-6_PublicHealthProfessionals ,   ATSDR-Message-Testing_Attachment-7_Communitymembers ,   ATSDR-Message-Testing_Attachment-8_Consent-Form ,   ATSDR-Message-Testing_Attachment-2_Screener-Consumers_Clean ,   ATSDR-Message-Testing_Attachment-5_Consumers
Radiation Emergencies Infographics Focus Groups None Screening Instrument-Radiation Emergencies Infographics
HMTS Radiation Focus Group and Emergencies Infographics
Testing Health Messages in STEADI Oder Adult Fall Pevention Materials Among Caregivers None Informed Consent
Audience Research on Self-Management Education, Phase III 0920-0572, 0920-0572 Attachment 4 Screener_10282014 ,   Attachment 3 Mod Guide_10282014
Evaluation of Emergency Preparedness Materials for Limited English Proficient Spanish-Speakers (14AHO) none, none Screener in English and Spanish ,   Dicussion Guide in English and Spanish
African American STD Disparities Health Communications Project and Community Health Media Center Educational Campaign Materials Testing none, none, none, none, none, none, none, none, none, none African American Screener ,   African American Survey ,   Community Health Wave 1 Screener ,   Community Health Wave 2 Screener ,   Community Health Wave 3 Screener ,   Community Health Wave 4 Screener ,   Community Health Wave 1 Survey Screenshots ,   Community Health Wave 2 Survey Screenshots ,   Community Health Wave 3 Survey Screenshots ,   Community Health Wave 4 Survey Screenshots
Communities Putting Prevention to Work (CPPW) National Media Initiative -- Message Testing
Storyboard Testing Focus Groups for "No Trespassing Means No Trespassing" Campaign
Communities Putting Prevention to Work (CPPW) National Prevention Media Initiative Focus Group with Parents/Caregivers
Planes,Trains and Auto-Mobility: Increase Walking in the Atl Hartsfield-Jackson Arprt And Testing of brand concepts, msgs and material CDC National Diabetes Prevntion Program 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572 Planes, Trains and Autop Appendix B3 Response Form ,   Testing of Brand Appendix C1-Moderators Guide- Consumers FG ,   Planes, Trains and Auto Appendix B Instructions for Interview ,   Plane, Trains and Auto Appendix B 1 Interview 1 ,   Planes, Trains and Autop Appendix B2 Interview Cards 1 ,   Planes, Trains Auto Appendix B4 Participant Inform ,   Plane, Trains and Auto Appendix 5 Question 1 Rationale ,   Plane, Train Auto Appendix C Handheld Screenshots ,   Testing of brand Appendix A1-Screener-Consumers 010 ,   Testing of brand concepts Appendix A2-Screener-HCP ,   Testing of brand concepts Appendix B1-Consent form ,   Testing of brand concepts Appendix B2-Consent form- ,   Testing of brands Appendix C2-Moderators Guide- HCP triads ,   Testing of brand Appendix D2-NDPP Branding Message Testing Supplement
Parents are the Key Teen Driving Safety Initiative none, none, none, none, none, none Pediatrician Screener ,   Parent Message Testing Moderator's Guide ,   Parent Message Testing Moderator's Guide - Spanish ,   Pediatrician Message Testing Moderator's Guide ,   Parent Screener ,   Parent Screener - Spanish
Message Testing for CDCs Division of Community Health with the General Public, Engaged Public, and Community Leaders 0920-0572, 0920-0572, 0920-0572 Moderators Guide- Engaged Public Triad ,   Moderators Guide- Community Leaders Triad ,   Moderators Guide- General Public FG
Audience Research on Self-Management Education none, none Moderator's Guide ,   Screener
Spanish Trench Safety CD-ROM none, none Survey - Spanish ,   Recruitment Script

  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 55,575 55,575 0 0 0 0
Annual Time Burden (Hours) 7,510 7,410 0 0 100 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,550,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Thelma Sims 4046394771

  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.
01/06/2015


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