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Interim Assessment of Messages for the Prescription Drug Overdose Prevention, Awareness, and Knowledge Building Campaign
CDC and ATSDR Health Message Testing System
OMB: 0920-0572
IC ID: 226286
OMB.report
HHS/CDC
OMB 0920-0572
ICR 201502-0920-001
IC 226286
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Interim Assessment of Messages for the Prescription Drug Overdose Prevention, Awareness, and Knowledge Building Campaign
Form
Att A Instrument PDO.docx
Other-Overview of Questions in the P
Screen Shots of the Prescription Drug Overdose Survey
Att B PDO PCS Screen Shots 0572.pdf
Form
Att E1 PDO_Radio_AnnMarie_12.16.16_ForDistribution.mp3
Radio Ad (Ann Marie)
IC Document
Att E2 PDO_Radio_Judy_12.15.16_ForDistribution.mp3
Radio Ad (Judy)
IC Document
Att E3 PDO_Radio_Mike_12.16.16_ForDistribution.mp3
Radio Ad (Mike)
IC Document
Att E4 PDO_Radio_Noah_12.16.16_ForDistribution.mp3
Radio Ad (Noah)
IC Document
Att E5 PDO_Radio_Tamera_12.15.16_ForDistribution.mp3
Radio Ad (Tamera)
IC Document
Att E6 PDO Billboard.png
PDO Billboard Ad
IC Document
Att E7 PDO Web Banner.jpg
PDO Web Banner
IC Document
Att E8 PDO Web Banner_ANIMATED.gif
PDO Animated Web Banner
IC Document
1. PDO_HMTSExpeditedReviewForm.pdf
HMTS Review Form for the PDO Interim Assessment
IC Document
Att D PDO Project Description.docx
Project Description
IC Document
Att C. Privacy Act.pdf
Privacy Act Determination
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Interim Assessment of Messages for the Prescription Drug Overdose Prevention, Awareness, and Knowledge Building Campaign
Agency IC Tracking Number:
0920-17ACG
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
N/A
Screen Shots of the Prescription Drug Overdose Survey
Att B PDO PCS Screen Shots 0572.pdf
Yes
Yes
Fillable Fileable
Other-Overview of Questions in the PDO Survey
Att A Instrument PDO.docx
No
Paper Only
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:
1,430
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
1,430
0
1,430
0
0
0
Annual IC Time Burden (Hours)
358
0
358
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Radio Ad (Ann Marie)
Att E1 PDO_Radio_AnnMarie_12.16.16_ForDistribution.mp3
04/05/2017
Radio Ad (Judy)
Att E2 PDO_Radio_Judy_12.15.16_ForDistribution.mp3
04/05/2017
Radio Ad (Mike)
Att E3 PDO_Radio_Mike_12.16.16_ForDistribution.mp3
04/05/2017
Radio Ad (Noah)
Att E4 PDO_Radio_Noah_12.16.16_ForDistribution.mp3
04/05/2017
Radio Ad (Tamera)
Att E5 PDO_Radio_Tamera_12.15.16_ForDistribution.mp3
04/05/2017
PDO Billboard Ad
Att E6 PDO Billboard.png
04/05/2017
PDO Web Banner
Att E7 PDO Web Banner.jpg
04/05/2017
PDO Animated Web Banner
Att E8 PDO Web Banner_ANIMATED.gif
04/05/2017
HMTS Review Form for the PDO Interim Assessment
1. PDO_HMTSExpeditedReviewForm.pdf
04/05/2017
Project Description
Att D PDO Project Description.docx
04/05/2017
Privacy Act Determination
Att C. Privacy Act.pdf
04/05/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.