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Message Testing among Public Audiences in US Virgin Islands for Zika prevention
CDC and ATSDR Health Message Testing System
OMB: 0920-0572
IC ID: 224378
OMB.report
HHS/CDC
OMB 0920-0572
ICR 201502-0920-001
IC 224378
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Message Testing among Public Audiences in US Virgin Islands for Zika prevention
Form and Instruction
Intercept interview for message testing
Intercept interviews for testing messages with public audiences USVI.docx
Form and Instruction
0920-0572 - Intercept Interviews with Public Audiences in USVI (002).pdf
Approval Request Form
IC Document
Mosquito Control During an Outbreak_110316FINAL.docx
Mosquito Control Information Sheet
IC Document
truckmounted-factsheet.pdf
Truck mounted spraying fact sheet
IC Document
16_263062-Q_LivingInAreasWithZika_USVI.pdf
Pregnant in Zika Area fact sheet
IC Document
16_272334-A_Carter_FightTheBite_v2.pdf
Fight the Bite messages
IC Document
16_258143-H_MosquitoBitePrevention-ENG_updates10-4.pdf
Mosquito Bite Prevention message
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Message Testing among Public Audiences in US Virgin Islands for Zika prevention
Agency IC Tracking Number:
17DA
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
none
Intercept interview for message testing
Intercept interviews for testing messages with public audiences USVI.docx
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
60
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
Documents for IC
Title
Document
Date Uploaded
Approval Request Form
0920-0572 - Intercept Interviews with Public Audiences in USVI (002).pdf
11/09/2016
Mosquito Control Information Sheet
Mosquito Control During an Outbreak_110316FINAL.docx
11/09/2016
Truck mounted spraying fact sheet
truckmounted-factsheet.pdf
11/09/2016
Pregnant in Zika Area fact sheet
16_263062-Q_LivingInAreasWithZika_USVI.pdf
11/09/2016
Fight the Bite messages
16_272334-A_Carter_FightTheBite_v2.pdf
11/09/2016
Mosquito Bite Prevention message
16_258143-H_MosquitoBitePrevention-ENG_updates10-4.pdf
11/09/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.