Message testing among partners of pregnant women in Puerto Rico

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 221594

Documents and Forms
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Document Type
Form and Instruction
Form and Instruction
Form and Instruction
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IC Document
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Information Collection (IC) Details

View Information Collection (IC)

Message testing among partners of pregnant women in Puerto Rico 16AMP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Intercept Interviews with Public Audiences in Puerto Rico to test Zika Prevention Messages - English Intercept interviews for testing messages with public audiences.docx NA No   Paper Only
Form and Instruction NA Intercept Interviews with Public Audiences in Puerto Rico to test Zika Prevention Messages - Spanish Entrevistas Centros Comerciales_final.docx NA No   Paper Only

Health Public Health Monitoring

 

60 0
   
Individuals or Households
 
   0 %

  Approved 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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 15 0 15 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Flyer - Preventing Mosquito Bites 13.Flyer - Preventing mosquito bites.pdf 05/19/2016
Flyuer - Sexual Transmission for Partners of Pregnant Women 34.Flyer - Sexual Transmission for Partners of Pregnant Women.pdf 05/19/2016
Poster for Hardware Store 30.Poster for hardware stores.pdf 05/19/2016
Facebook - Four Steps Infographic 1a.Facebook.Four steps infographic.jpg 05/19/2016
Facebook - Step 1 2a.Facebook.Step 1 infographic.jpg 05/19/2016
Facebook - Step 2 3a.Facebook.Step 2 infographic.jpg 05/19/2016
Facebook - Step 3 4a.Facebook.Step 3 infographic.jpg 05/19/2016
Facebook - Step 4 5a.Facebook.Step 4 infographic.jpg 05/19/2016
Twitter - Four Steps Infographic 1b.Twitter.Four steps infographic.jpg 05/19/2016
Twitter - Step 1 2b.Twitter.Step 1 infographic.jpg 05/19/2016
Twitter - Step 2 3b.Twitter.Step 2 infographic.jpg 05/19/2016
Twitter - Step 3 4b.Twitter.Step 3 infographic.jpg 05/19/2016
Twitter - Step 4 5b.Twitter.Step 4 infographic.jpg 05/19/2016
Zika PSA Transcript - English Transcript.Eng.PSAs.PRDH_4.2016.docx 05/19/2016
Zika PSA Transcript - Spanish CAPSULAS ZIKA.Transcript.doc 05/19/2016
IRB Non-Research Determination IRB Non-research determination.pdf 05/19/2016
HMTS Expedited Review Request HMTS - Message testing among partners of pregnant women in Puerto Rico - Expedited Review Form.pdf 05/19/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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