Burden table by audience and activity

Message Testing for CDC’s Division of Community Health

Supplement to the HMTS Expedited Review Form

Burden Hours

Type of Respondents	Form Name	Number of Respondents	Number of Responses per Respondent	Burden per Response (in hr)	Total Burden (in hr)
General Public	Discussion Group Recruitment Screener	240	1	10/60	40
	Moderator’s Guide for Focus Groups with General Public	240	1	90/60	360
Engaged Public	Discussion Group Recruitment Screener	48	1	10/60	8
	Moderator’s Guide for Triads with Engaged Public	48	1	1	48
Community Leaders	Moderator’s Guide for Triads with Community Leaders	48	1	45/60	36
	Total				492

Total Number of Respondents and Distribution by Region

Type of discussion group	Total # of groups (across all 4 regions-South, Northeast, Midwest, & West)	Total # of respondents that will be recruited for each group	Total # of respondents (across all 4 regions)
Focus Groups with General Public	24 (6 in each region)	10	240 respondents
Triads (mini-groups) with Engaged Public	12 (3 in each region)	4	48 respondents
Triads (mini-groups) with Community Leaders	12 (3 in each region)	4	48 respondents
			336 respondents