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Office of the Associate Director for Communication (OADC) Message and Material Feedback
CDC and ATSDR Health Message Testing System
OMB: 0920-0572
IC ID: 221858
OMB.report
HHS/CDC
OMB 0920-0572
ICR 201502-0920-001
IC 221858
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0572 can be found here:
2024-10-18 - Revision of a currently approved collection
2021-08-31 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Office of the Associate Director for Communication (OADC) Message and Material Feedback
Form and Instruction
OADC Message and Material Feedback Survey - Screener
Attachment-E_OADC Material Feedback Surveys - Screener Questions (online).docx
Form and Instruction
OADC Message and Material Feedback Survey - Health Mater
Attachment-I_OADC Material Feedback Surveys - Health Material Questions (online).docx
Form and Instruction
Attachment-A_OADC Material Feedback Surveys Protocol.docx
OADC Material Feedback Survey - Protocol
IC Document
Attachment-B_OADC Material Feedback Surveys Materials.docx
OADC Material Feedback Survey - Material to Test
IC Document
Attachment-C_OADC Material Feedback Surveys Email Invitation.docx
Email Invitation
IC Document
Attachment-D_OADC Material Feedback Surveys - Screener Questions (text).docx
OADC Material Feedback Survey - Screener (Text)
IC Document
Attachment-F_OADC Material Feedback Surveys - Consent (text).docx
OADC Material Feedback Survey - Consent (Text)
IC Document
Attachment-G_OADC Material Feedback Surveys - Consent (online).docx
OADC Material Feedback Survey - Consent (Online)
IC Document
Attachment-H_OADC Material Feedback Surveys - Health Material Questions (text).docx
OADC Material Feedback Survey - Health Material Questions (Text)
IC Document
OADC TO25 Material Feedback Surveys HMTS Expedited Review Form.pdf
HMTS Expedited Review Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Office of the Associate Director for Communication (OADC) Message and Material Feedback
Agency IC Tracking Number:
16AQN
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
NA
OADC Message and Material Feedback Survey - Screener
Attachment-E_OADC Material Feedback Surveys - Screener Questions (online).docx
NA
Yes
Yes
Fillable Fileable
Form and Instruction
NA
OADC Message and Material Feedback Survey - Health Material Questions
Attachment-I_OADC Material Feedback Surveys - Health Material Questions (online).docx
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
240
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
240
0
240
0
0
0
Annual IC Time Burden (Hours)
21
0
21
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OADC Material Feedback Survey - Protocol
Attachment-A_OADC Material Feedback Surveys Protocol.docx
06/10/2016
OADC Material Feedback Survey - Material to Test
Attachment-B_OADC Material Feedback Surveys Materials.docx
06/10/2016
Email Invitation
Attachment-C_OADC Material Feedback Surveys Email Invitation.docx
06/10/2016
OADC Material Feedback Survey - Screener (Text)
Attachment-D_OADC Material Feedback Surveys - Screener Questions (text).docx
06/10/2016
OADC Material Feedback Survey - Consent (Text)
Attachment-F_OADC Material Feedback Surveys - Consent (text).docx
06/10/2016
OADC Material Feedback Survey - Consent (Online)
Attachment-G_OADC Material Feedback Surveys - Consent (online).docx
06/10/2016
OADC Material Feedback Survey - Health Material Questions (Text)
Attachment-H_OADC Material Feedback Surveys - Health Material Questions (text).docx
06/10/2016
HMTS Expedited Review Form
OADC TO25 Material Feedback Surveys HMTS Expedited Review Form.pdf
06/10/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.