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

View Information Collection (IC)

Sepsis Campaign Development: Round 2 Concept/Materials Testing for Consumers 0920-17ANT
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form n/a Yes Yes Fillable Fileable

Health Illness Prevention

 

198 0
   
Individuals or Households
 
   100 %

  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 198 0 198 0 0 0
Annual IC Time Burden (Hours) 24 0 24 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HMTS Form - Sepsis R2 Testing wtih Consumers 06/05/2017
Project Description - Sepsis R2 Testing with Consumers 06/05/2017
Test Item C1. Visual with Slogan_A 06/05/2017
Test Item C2. Visual with Slogan_B 06/05/2017
Test Item C3. Visual with Slogan_C 06/05/2017
Test Item C4. Visual with Slogan_D 06/05/2017
Test Item C5. Visual with Slogan_E 06/05/2017
Test Item C6. Print Concept_A 06/05/2017
Test Item C7. Print Concept_B 06/05/2017
Test Item C8. Print Concept_C 06/05/2017
Test Item C9. Campaign Stimuls_TV Ads 06/05/2017
Test Item C11. Consumer Definition_Sepsis 06/05/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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