Testing Health Messages in STEADI Oder Adult Fall Pevention Materials Among Caregivers

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 209309

Information Collection (IC) Details

View Information Collection (IC)

Testing Health Messages in STEADI Oder Adult Fall Pevention Materials Among Caregivers
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Appendix B - Informal Caregiver Recruiting Script.docx Yes No Paper Only
Other-Informal Caregiver Discussion Guide Appendix A - Informal Caregiver Discussion Guide.docx Yes No Paper Only
Instruction Appendix C - Formal Caregiver Recruiting Script.docx Yes No Paper Only
Other-Formal Caregiver Discussion Guide Appendix D - Formal Caregiver Discussion Guide.docx Yes No Paper Only
Form None Informed Consent Appendix E - Informed Consent.docx Yes No Paper Only
Other-Review materials Appendix F - Check for Safety Fact Sheet.pdf Yes No Paper Only
Other-Review materials Appendix G - Stay Independent.pdf Yes No Paper Only
Other-Review materials Appendix H - What You Can Do to Prevent Falls.pdf Yes No Paper Only

Health Immunization Management

 

244 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Requested 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 244 0 0 0 0 244
Annual IC Time Burden (Hours) 128 0 0 0 0 128
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix I - Burden-Cost Table Appendix I - Burden-Cost Table.xlsx 11/07/2013
HMTS-ExpeditedReviewForm_Caregivers HMTS-ExpeditedReviewForm_Caregivers.pdf 11/07/2013
Appendix J - Project Description Appendix J - Project Description.docx 11/07/2013
Appendix K - List of Appendices Appendix K - List of Appendices.docx 11/07/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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