Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Health Intermedaries--Confidentiality agreement New 25 2 0
Health Intermediaries- Screener New 75 13 0
Childhood Obesity Prevention Communication Campaign Research New 2764 739 0 Other-survey
Other-survey
Other-survey
Other-survey
Other-survey
Other-survey
Consumer Focus Groups For Messages and Guidance on the 2010 Dietary Guidelines for Americans, Submission #3 New 60 170 0 Form 0990-0281 Focus Group Participant Screener
Form 0990-0281 Focus Group Moderator's Guide
Focus Group Participant -Generic #4 New 440 597 0 Other-Focus Group Participant
Other-Spanish Letter
Other-Guide
Other-letter
Health Intermediaries- Interview New 25 37 0
Healthy People 2020 Consortium Member Assessment to Support the US DHHS New 168 86 0 Form 0990-0281 Focus Group and Interview recruitment Screener
Form 0990-0281 Interviewer's Guide
Form 0990-0281 Moderator's Guide
Form 0990-0281 Healthy People 2020 Consortium Member Assessment
In Person focus 20 -Confidentiality agreement New 53 4 0
In Person focus group 15- Confidentiality New 40 3 0
In focus groups 35 Confidentiality New 93 8 0
In person Focus Groups 15 - Screener New 80 13 0
In person Focus Groups 20- Focus Group New 53 106 0
In person Focus group-35- Focus group New 93 186 0
In person Message testing-Confidentiality agreement New 50 4 0
In person focus group-20 Screener New 372 62 0
In person focus groups 20 screener New 159 27 0
In person focus groups- 15- Focus group New 40 80 0
In person message testing- screener New 200 33 0
In person message testing-Message test New 50 50 0
Limited Literacy Consumers-Confidentiality agreement New 33 3 0
Limited Literacy consumers- Interview New 33 49 0
Limited Literacy consumers-Screener New 133 22 0
ODPHP Partnership Engagement Survey New 2879 480 0 Other-cover letter
Other-survey
Prevention Communication Formative Research, #11 #12 New 242 242 0 Other-screener #12
Other-moderator #12
Public Health Professional-Interview New 25 37 0
Public Health Professionals- Confidentiality Agreement New 25 2 0
Public Health Professionals-Screeners New 50 8 0
Telephone -based message testing- Telephone Test New 67 67 0
Telephone-based message testing- Screener New 268 45 0
Telephone-based message testing-Confidentiality agreement New 67 6 0
Usability an othe testing of prototype materials Print and web-screener New 400 67 0
Usability and other testing of prototype materials -Usability test New 100 150 0
Usability and other testing of prototype materials-Confidentiality agreement New 100 8 0
Web-based concept and prototype -Confidentiality Agreement New 167 14 0
Web-based concept and prototype testing-Web-test New 167 167 0
Web-based message Testing- Confidentiality agreement New 115 10 0
Web-based message testing- Web test New 115 115 0
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 9826 3712 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title