OMB Control No: 0920-0572
ICR Reference No:
201501-0920-003
Status: Historical Active
Previous ICR Reference No: 201111-0920-003
Agency/Subagency: HHS/CDC
Agency Tracking No: 15JW
Title: CDC and ATSDR Health Message
Testing System
Type of Information Collection: No
material or nonsubstantive change to a currently approved
collection
Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved
without change
Conclusion Date: 01/06/2015
Retrieve
Notice of Action (NOA)
Date Received in OIRA:
01/06/2015
Terms of Clearance: 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
Expiration Date
02/28/2015
02/28/2015
02/28/2015
Responses
55,575
0
55,575
Time Burden (Hours)
7,510
0
7,410
Cost Burden (Dollars)
0
0
0
Abstract: 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.
Authorizing Statute(s): US Code:
42
USC 241 Name of Law: Public Health Service Act
Citations for New Statutory
Requirements: None
Associated Rulemaking
Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices &
Comments
60-day Notice:
Federal Register Citation:
Citation Date:
76 FR
68358
07/26/2011
30-day Notice:
Federal Register Citation:
Citation Date:
76 FR
189
09/29/2011
Did the Agency receive public comments on
this ICR? No
Number of Information Collection (IC) in this
ICR: 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
ICR Summary of Burden
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
Burden increases because of Program Change due to Agency
Discretion: No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency
Discretion: No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$1,550,000
Does this IC contain surveys, censuses, or employ
statistical methods? Yes Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy
Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L.
111-148 & 111-152]? No
Is this ICR related to the Dodd-Frank Wall Street Reform
and Consumer Protection Act, [Pub. L. 111-203]? No
Is this ICR related to the American Recovery and
Reinvestment Act of 2009 (ARRA)? No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact: Thelma Sims 4046394771