Sepsis Campaign Development: Round 2 Concept/Materials Testing for Consumers

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 227054

Information Collection (IC) Details

View Information Collection (IC)

Sepsis Campaign Development: Round 2 Concept/Materials Testing for Consumers 0920-17ANT
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form n/a Screenshots of the Sepsis R2 Survey for Consumers B.R2 Sepsis Consumer Survey Screenshots.pdf Yes Yes Fillable Fileable

Health Illness Prevention

 

198 0
   
Individuals or Households
 
   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 198 0 198 0 0 0
Annual IC Time Burden (Hours) 24 0 24 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HMTS Form - Sepsis R2 Testing wtih Consumers Sepsis R2_HMTSExpeditedReviewForm_v4 - Consumers.pdf 06/05/2017
Project Description - Sepsis R2 Testing with Consumers Sepsis R2 Project Description_5.31.2017 - Consumers.docx 06/05/2017
Test Item C1. Visual with Slogan_A C1.Visual with slogan_A.png 06/05/2017
Test Item C2. Visual with Slogan_B C2.Visual with slogan_B.png 06/05/2017
Test Item C3. Visual with Slogan_C C3.Visual with slogan_C.png 06/05/2017
Test Item C4. Visual with Slogan_D C4.Visual with slogan_D.png 06/05/2017
Test Item C5. Visual with Slogan_E C5.Visual with slogan_E.png 06/05/2017
Test Item C6. Print Concept_A C6.Sepsis_Print_Concept_A.pdf 06/05/2017
Test Item C7. Print Concept_B C7.Sepsis_Print_Concept_B.pdf 06/05/2017
Test Item C8. Print Concept_C C8.Sepsis_Print_Concept_C.pdf 06/05/2017
Test Item C9. Campaign Stimuls_TV Ads C9.Sepsis Campaign Stimulus_TV Ads.docx 06/05/2017
Test Item C11. Consumer Definition_Sepsis C11.CONSUMER Sepsis definition_ R2 testing_FINAL.docx 06/05/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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