View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Message Testing for the AAA Campaign - Hispanics/Latinos
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0920 Yes Yes Fillable Printable
Form and Instruction 0920-0920 Yes Yes Fillable Fileable
Form and Instruction 0920-0920 Yes Yes Fillable Fileable
Form and Instruction 0920-0920 Yes Yes Fillable Fileable

Health Immunization Management

 

1,170 0
   
Individuals or Households
 
   100 %

  Requested 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 1,170 0 0 0 0 1,170
Annual IC Time Burden (Hours) 272 0 0 0 0 272
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 09/26/2013
Supporting Statement B 09/26/2013
Attachment 3_Consent_Eng 09/26/2013
Attachment 3A_Consent_Spn 09/26/2013
Attachment 4_Reminder Email_Eng 09/26/2013
Attachment 4A_Reminder Email_Span 09/26/2013
Attachment 5 Creative for Web 09/26/2013
Attachment 6 CampaignMessages-WebSurvey 09/26/2013
CONCEPTS FOR OMB APPROVAL 09/26/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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