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Antibiotic Use Campaign: Round 2 (R2) Concept/Materials Testing with Health Care Professionals 0920-17ATJ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Screener for Health Care Professionals Attach 2_HCP Screener FINAL 062117.doc No   Paper Only
Form and Instruction n/a Pre-Discussion Information Survey for Health Care Professionals Attach 3_HCP PDIS FINAL 062117.doc No   Paper Only
Form and Instruction n/a In-Depth Interview Guide for Health Care Professionals Attach 4_HCP IDI Guide FINAL 062117.docx No   Paper Only

Health Illness Prevention

 

120 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 120 0 120 0 0 0
Annual IC Time Burden (Hours) 34 0 34 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Test Item 1. Conversation Starters 1.Conversation Starters_FINAL 04.21.17.docx 06/21/2017
Test Item 2. Print Ad_Safe Play 2.AU PSA Print Ad_Safe Play.pdf 06/21/2017
Test Item 3. Print Ad_Status Update 3.AU PSA Print Ad_Status Update.pdf 06/21/2017
Test Item 4. Print Ad_The Right Tool 4.AU PSA Print Ad_The Right Tool.pdf 06/21/2017
Test Item 5. Campaign Stimulus_TV Ads 5.AU Campaign Stimulus_TV Ads.docx 06/21/2017
Test Item 6. Visual with slogan_A 6.Visual with slogan_A.png 06/21/2017
Test Item 7. Visual with slogan_B 7.Visual with slogan_B.png 06/21/2017
Test Item 8. Visual with slogan_C 8.Visual with slogan_C.png 06/21/2017
Test Item 9. Visual with slogan_D 9.Visual with slogan_D.jpg 06/21/2017
Test Item 10. Visual with slogan_E 10.Visual with slogan_E.jpg 06/21/2017
Project Description Attach 1_AU R2 HCP Project Desc and Burden_062117.docx 06/22/2017
HMTS Expedited Review Form (AU R2/HCP) HMTS Expedited Review Form - AU R2 Campaign - HCPs 062017.pdf 06/22/2017
Verbal Consent Attach 5_Verbal Consent IDI-FG FINAL 062117.docx 06/22/2017
Observer Confidentiality Agreement Attach 6_Observer Confidentiality_FINAL 062117.doc 06/22/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.