OMB
.report
Search
Copy Testing Surveys
ASPA COVID-19 Public Education Campaign Market Research
OMB: 0990-0476
IC ID: 245352
OMB.report
HHS/HHSDM
OMB 0990-0476
ICR 202306-0990-002
IC 245352
( )
Documents and Forms
Document Name
Document Type
Part A - Attachment H_COVID-19 Copy Testing Survey_Consent Form.docx
Other-CTS-Part A, Attachment H
Part A - Attachment I_COVID-19 Copy Testing Survey_Communications.docx
Other-CTS-Part A, Attachment I
Part A - Attachment J_COVID-19 Copy Testing Survey External IRB Determination.pdf
Other-CTS-Part A, Attachment J
Part B - Attachment C_COVID-19 Copy Testing Survey_Questionnaire.docx
Other-CTS-Part B, Attachment C
0990-0476 HHS COVID-19 Brand Testing Questionnaire FINAL.docx
Other-Change questionnaire
HHS COVID-19 Creative Testing Survey_Testimonials_Final.docx
Other-CTS 8-26-21
HHS COVID-19 Boosters Ad Testing Questionnaire_FinalClean.docx
Other-CTS 8-19-22
0990-0476 HHS COVID-19 Testing Collages_FINAL_020821.pdf
Covid-19 Testing Collage
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Copy Testing Surveys
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
Other-CTS-Part A, Attachment H
Part A - Attachment H_COVID-19 Copy Testing Survey_Consent Form.docx
Yes
Yes
Fillable Fileable
Other-CTS-Part A, Attachment I
Part A - Attachment I_COVID-19 Copy Testing Survey_Communications.docx
Yes
Yes
Fillable Fileable
Other-CTS-Part A, Attachment J
Part A - Attachment J_COVID-19 Copy Testing Survey External IRB Determination.pdf
Yes
Yes
Fillable Fileable
Other-CTS-Part B, Attachment C
Part B - Attachment C_COVID-19 Copy Testing Survey_Questionnaire.docx
Yes
Yes
Fillable Fileable
Other-Change questionnaire
0990-0476 HHS COVID-19 Brand Testing Questionnaire FINAL.docx
Yes
Yes
Fillable Fileable
Other-CTS 8-26-21
HHS COVID-19 Creative Testing Survey_Testimonials_Final.docx
Yes
Yes
Fillable Fileable
Other-CTS 8-19-22
HHS COVID-19 Boosters Ad Testing Questionnaire_FinalClean.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
540,000
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
540,000
0
0
0
0
540,000
Annual IC Time Burden (Hours)
34,020
0
0
0
0
34,020
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Covid-19 Testing Collage
0990-0476 HHS COVID-19 Testing Collages_FINAL_020821.pdf
02/08/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.