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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[NCCDPHP] Focus Group Testing to Effectively Plan and Tailor a Cancer Prevention and Control Communication Campaign (Bring your Brave)
Agency IC Tracking Number:
0920-23GT
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 and Instruction
0920-23GT
Attachment 5A. CDC BYB FG Discussion Guide_English_v6
Attachment 5A. CDC BYB FG Discussion Guide_English_v6.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-23GT
Attachment 2A. CDC BYB FG Screener_English_v4
Attachment 2A. CDC BYB FG Screener_English_v4.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-23GT
Attachment 2B. CDC BYB FG Screener_Spanish_v4
Attachment 2B. CDC BYB FG Screener_Spanish_v4.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-23GT
Attachment 5B. CDC BYB FG Discussion Guide_Spanish_v6
Attachment 5B. CDC BYB FG Discussion Guide_Spanish_v6.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:
FR Citation:
Number of Respondents:
220
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
220
0
220
0
0
0
Annual IC Time Burden (Hours)
117
0
117
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 1. Legislative Authority - EARLY Act Reauthorization
Attachment 1. Legislative Authority - EARLY Act Reauthorization.pdf
07/13/2023
Attachment 3A. CDC BYB FG Emails_English_v3
Attachment 3A. CDC BYB FG Emails_English_v3.docx
07/13/2023
Attachment 3B. CDC BYB FG Emails_Spanish_v3
Attachment 3B. CDC BYB FG Emails_Spanish_v3.docx
07/13/2023
Attachment 4A. CDC BYB FG Informed Consent_English_v3
Attachment 4A. CDC BYB FG Informed Consent_English_v3.docx
07/13/2023
Attachment 4B. CDC BYB FG Informed Consent_Spanish_v3
Attachment 4B. CDC BYB FG Informed Consent_Spanish_v3.docx
07/13/2023
Supporting Statement Part A_v3 4-28-23
Supporting Statement Part A_v3 4-28-23.docx
07/13/2023
Supporting Statement Part B_v3 4-28-23
Supporting Statement Part B_v3 4-28-23.docx
07/13/2023
Supporting Statement A_v4
Supporting Statement Part A_v3 4-28-23_OIRA 7.14.23_Clean.docx
10/25/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.