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Be Antibiotics Aware Educational Message/Materials Assessment
CDC and ATSDR Health Message Testing System
OMB: 0920-0572
IC ID: 229773
OMB.report
HHS/CDC
OMB 0920-0572
ICR 201502-0920-001
IC 229773
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Be Antibiotics Aware Educational Message/Materials Assessment
Form
Be Antibiotics Aware Consumer Survey (BAACS)
3. BAAS screen shots 011718.pdf
Form
1. BAA Survey Project Description 01182018.docx
BAACS Project Description
IC Document
2. Be Antibiotics Aware Consumer Survey_HMTS Form 01182018.pdf
HMTS Template for the BAACS
IC Document
4. BAACS IRB Exemption.pdf
IRB Exemption
IC Document
5. Consumer Material Thumbnails 011718.docx
Messages and Materials for Consumers - BAA Campaign
IC Document
6. Healthcare Professional Material Thumbnails 011718.docx
Messages and Materials for Healthcare Professionals - BAA Campaign
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Be Antibiotics Aware Educational Message/Materials Assessment
Agency IC Tracking Number:
0920-18KE
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
Be Antibiotics Aware Consumer Survey (BAACS)
3. BAAS screen shots 011718.pdf
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:
1,304
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
1,304
0
1,304
0
0
0
Annual IC Time Burden (Hours)
359
0
359
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
BAACS Project Description
1. BAA Survey Project Description 01182018.docx
01/18/2018
HMTS Template for the BAACS
2. Be Antibiotics Aware Consumer Survey_HMTS Form 01182018.pdf
01/18/2018
IRB Exemption
4. BAACS IRB Exemption.pdf
01/18/2018
Messages and Materials for Consumers - BAA Campaign
5. Consumer Material Thumbnails 011718.docx
01/18/2018
Messages and Materials for Healthcare Professionals - BAA Campaign
6. Healthcare Professional Material Thumbnails 011718.docx
01/18/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.