HMTS Expedite Form

Health Message Testing System Expedited Review Form
1. Title of Study: (Please append screener and questionnaire)

National Firefighter Registry

2. Study Population: (Discuss study population and explain how they will be selected/recruited.)

Firefighters around the country. It is our plan to work with stakeholder groups to reach out to Firefighters
attending meetings to participate in focus group discussions. The stakeholders will do all of the
recruitment. We also plan to have voluntarily informal surveys that will be promoted by stakeholders.
Respondent characteristics:
Number of subject: 60-70

Number of males:

Age range: 18-65+

Number of females:

Racial/ethnic composition: mixed
Special group status: (e.g., risk group, health care providers)
Type of group(s): 1. Career FFs, 2. volunteer FFs, 3. female FFs, 4. minority FFs, 5.

fire-cause investigators, 6. other specialties of the fire service

Geographic location(s): FF from across the nation.

3. Incentives: (State what incentive will be offered and justify proposed incentives to be used in study.)

There will not be any incentives.

4. Study method: (Please check one below)
Central location intercept interview:
Online Interview:
Telephone interview:

Focus group:
Individual in-depth interview (cognitive interview):

(CATI used: yes or no):

Other (describe): online survey

5. Purpose of the overall communication effort into which this health message(s) will fit:
(Please provide 2-3 sentences below.)

NFR is designed to create the world's largest database of FF to better understand the link between cancer
and the profession. The core communication is intended to get FFs to voluntarily sign-up for the registry.
Career, volunteer, female, minority, investigators & other specialty FFs are needed.

6. Category of time sensitivity: (Please check one below)
Health emergency:
Time-limited audience access:
Press coverage correction:
Time-limited congressional/administrative mandate:
Trend Tracking
Ineffective existing materials due to historical event/social trends:
7. Describe nature of time sensitivity: (Please provide 2-3 sentences below.)
Under a Congressional mandate this education program must launch in Mid-2020. We also have a time
sensitive audience, trying to tie into meetings firefighters are already having around the country.

8. Number of burden hours requested: 520

BURDEN HOURS
No. of
Participation
Respondents Time

Category of Respondent

Burden

U.S. Firefighters

60

2

120

U.S. Firefighters- online survey

2000

12/60

400

Totals
9. Are you using questions from the approved question bank?

520

Yes

If yes, please list the item number(s) for questions used from the question bank separated by a comma.
(e.g., 1a, 3c, 130d)
1d-15d, 26d, 27d, 30d, 33d, 69d, 74d, 75d, 81d, 92d, 101d, 103d, 17f, 16c, 17c, 1a, 2a, 4a, 8a, 12a, 13a,
14a, 5a, 44a, 45a, 33a, 35a
*** Items below to be completed by Office of Associate Director for Communication (OADC)***
1. Number of burden hours remaining in current year's allocation: 4675
2. OADC confirmation of time-sensitivity:
Yes:
No:

Project Officer

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