Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2015 Focus Group Testing with General Public New 756 529 0 Form and Instruction none Screener and Recruitment
Form and Instruction none Screener and Recruitment - Spanish
Form and Instruction none Focus Group Guide
Form and Instruction none Focus Group Guide - Spanish
Assessing Satisfaction with Technical Assistance (TA) Provided to Racial and Ethnic Approaches to Community Health (REACH) Awardees New 60 60 0 Other-WORD
Other-WORD
Focus Group Testing to Effectively Plan and Tailor "Bring Your Brave" Communication Campaign Messages New 480 96 0 Other-WORD
Other-WORD
Other-WORD
Other-Screening
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Focus Group Testing to Effectively Plan and Tailor a Communication Campaign about Young Women and Breast Cancer New 540 378 0 Form and Instruction 0920-0800 B2 - Materials for Testing_AJ (Family History)_4 09 2015
Form and Instruction 0920-0800 C1 - Discussion Guide for AJ (No Family History)_04 09 2015
Form and Instruction 0920-0800 C2 - Materials for Testing_AJ (No Family History)_4 09 2015
Form and Instruction 0920-0800 D1 - Discussion Guide for AA (Family History)_04 09 2015
Form and Instruction 0920-0800 D2 - Materials for Testing_AA (Family History)_4 09 2015
Form and Instruction 0920-0800 E1 - Discussion Guide for AA (No Family History)_04 09 2015
Form and Instruction 0920-0800 F1 - Discussion Guide Other (Family History)_04 09 2015
Form and Instruction 0920-0800 F2 - Materials for Testing_Other (Family History)_4 09 2015
Instruction
Form and Instruction 0920-0800 H - Screening Instrument for Ashkenazi Jewish Young Women
Form and Instruction 0920-0800 I - Screening Instrument for African American Young Women
Form and Instruction 0920-0800 J - Screening Instrument for Other Young Women
Instruction
Focus Groups Assessing the Uptake and Effectiveness of Inside Knowledge: Get the Facts About Gynecologic Cancer Campaign Materials New 582 402 0 Form and Instruction NA Recruitment Form - Hispanic
Form and Instruction NA Recruitment Form -Low SES
Form and Instruction NA Recruitment Form - Disabilities
Instruction
Formative Research Legionella New 144 66 0 Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 2562 1531 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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