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Agenda
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Message testing among partners of pregnant women in Puerto Rico
Agency IC Tracking Number:
16AMP
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
NA
Intercept Interviews with Public Audiences in Puerto Rico to test Zika Prevention Messages - English
Intercept interviews for testing messages with public audiences.docx
NA
No
Paper Only
Form and Instruction
NA
Intercept Interviews with Public Audiences in Puerto Rico to test Zika Prevention Messages - Spanish
Entrevistas Centros Comerciales_final.docx
NA
No
Paper Only
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:
60
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
60
0
60
0
0
0
Annual IC Time Burden (Hours)
15
0
15
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Flyer - Preventing Mosquito Bites
13.Flyer - Preventing mosquito bites.pdf
05/19/2016
Flyuer - Sexual Transmission for Partners of Pregnant Women
34.Flyer - Sexual Transmission for Partners of Pregnant Women.pdf
05/19/2016
Poster for Hardware Store
30.Poster for hardware stores.pdf
05/19/2016
Facebook - Four Steps Infographic
1a.Facebook.Four steps infographic.jpg
05/19/2016
Facebook - Step 1
2a.Facebook.Step 1 infographic.jpg
05/19/2016
Facebook - Step 2
3a.Facebook.Step 2 infographic.jpg
05/19/2016
Facebook - Step 3
4a.Facebook.Step 3 infographic.jpg
05/19/2016
Facebook - Step 4
5a.Facebook.Step 4 infographic.jpg
05/19/2016
Twitter - Four Steps Infographic
1b.Twitter.Four steps infographic.jpg
05/19/2016
Twitter - Step 1
2b.Twitter.Step 1 infographic.jpg
05/19/2016
Twitter - Step 2
3b.Twitter.Step 2 infographic.jpg
05/19/2016
Twitter - Step 3
4b.Twitter.Step 3 infographic.jpg
05/19/2016
Twitter - Step 4
5b.Twitter.Step 4 infographic.jpg
05/19/2016
Zika PSA Transcript - English
Transcript.Eng.PSAs.PRDH_4.2016.docx
05/19/2016
Zika PSA Transcript - Spanish
CAPSULAS ZIKA.Transcript.doc
05/19/2016
IRB Non-Research Determination
IRB Non-research determination.pdf
05/19/2016
HMTS Expedited Review Request
HMTS - Message testing among partners of pregnant women in Puerto Rico - Expedited Review Form.pdf
05/19/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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The .gov means it's official.
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