Storyboard Testing Focus Groups for "No Trespassing Means No Trespassing" Campaign

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 214010

Information Collection (IC) Details

View Information Collection (IC)

Storyboard Testing Focus Groups for "No Trespassing Means No Trespassing" Campaign 15FO
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Attachment-2_Screener-Tweens.docx No   Paper Only
Other-WORD Attachment-3_Screener-Parents.docx No   Paper Only
Other-WORD Attachment-4_Moderators-Guide-Tweens.docx No   Paper Only
Other-WORD Attachment-5_Moderators-Guide-Parents.docx No   Paper Only

Health Public Health Monitoring

 

96 0
   
Individuals or Households
 
   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 96 0 0 0 0 96
Annual IC Time Burden (Hours) 48 0 0 0 0 48
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 1 Background InformaTION Attachment-1_Background-Information.docx 11/24/2014
Att 6_ Consent Form: Parents of Tween Attachment-6_Consent-Form-Parent-of-Tween.docx 11/24/2014
Att &_Assent Form: Tweens Attachment-7_Assent-Form-Tweens.docx 11/24/2014
Att 8_Consent Form: Parents Attachment-8_Consent-Form-Parents.docx 11/24/2014
Att 9_Burden Hours Attachment-9_Burden-Hours.docx 11/24/2014
HMTS Expedited Review Form ATSDR-Storyboard-Testing_HMTS-Expedited-Review-Form (2).pdf 11/24/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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