"Talk. They Hear You." Public Service Announcement Focus Group Protocols

Fast Track Generic Clearance for the Collection of Routine Customer Feedback - HHS Communication

OMB: 0990-0459

IC ID: 251292

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0459 can be found here:

2024-02-07 - No material or nonsubstantive change to a currently approved collection
2023-12-19 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
Form UAD TTHY_Focus Gro "Talk. They Hear You." Public Service Announcement Focus Group Protocols Form and Instruction
Form UAD TTHY_Focus Gro "Talk. They Hear You." Public Service Announcement Focus Group Protocols Form and Instruction
UAD TTHY_Focus Gro UAD TTHY_Focus Groups Screener 2021 OMB Package_UAD TTHY_Focus Groups Screener_Attachment B_REV 1_FINAL_012522.docx Form and Instruction
UAD TTHY_Focus Gro UAD TTHY_Focus Groups Screener 2021 OMB Package_UAD TTHY_Focus Groups Screener_Attachment B_REV 1_FINAL_012522.docx Form and Instruction
2021 OMB Package_UAD TTHY_Focus Groups Submission Memo_REV 1_FINAL_012522.docx 2021 OMB Package_UAD TTHY_Focus Groups Submission Memo IC Document
2021 OMB Package_UAD TTHY_Focus Groups Submission Memo_REV 1_FINAL_012522.docx 2021 OMB Package_UAD TTHY_Focus Groups Submission Memo IC Document
2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A_REV 1_FINAL_011322.docx 2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A IC Document
2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A_REV 1_FINAL_011322.docx 2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A IC Document
2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C_REV 1_FINAL_011322.docx 2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C IC Document
2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C_REV 1_FINAL_011322.docx 2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C IC Document
2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D_REV 1_FINAL_011322.docx 2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D IC Document
2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D_REV 1_FINAL_011322.docx 2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	"Talk. They Hear You." Public Service Announcement Focus Group Protocols	Agency IC Tracking Number:

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
Form and Instruction	UAD TTHY_Focus Groups Screener	UAD TTHY_Focus Groups Screener	2021 OMB Package_UAD TTHY_Focus Groups Screener_Attachment B_REV 1_FINAL_012522.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: “Talk. They Hear You.” Public Service Announcement Focus Group Protocols	FR Citation: 75 FR 28264

Number of Respondents: 1,192	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,192	1,192
Annual IC Time Burden (Hours)	110	110
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2021 OMB Package_UAD TTHY_Focus Groups Submission Memo	2021 OMB Package_UAD TTHY_Focus Groups Submission Memo_REV 1_FINAL_012522.docx	01/26/2022
2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A	2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A_REV 1_FINAL_011322.docx	01/26/2022
2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C	2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C_REV 1_FINAL_011322.docx	01/26/2022
2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D	2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D_REV 1_FINAL_011322.docx	01/26/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.