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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Message Testing with Mothers for CDC's Division of Nutrition, Physical Activity, and Obesity (DNPAO)
Agency IC Tracking Number:
0920-17BCY
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
n/a
Screener and Survey for Online Participants (content is provided in screen shots and Word)
4- APPENDIX B- Materials for online survey with mothers - DNPAO Message ....docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Screener and Moderator's Guide for In-person Focus Group Participants
5- APPENDIX C- Materials for focus groups with mothers - DNPAO Message T....docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,160
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
93 %
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
2,160
0
2,160
0
0
0
Annual IC Time Burden (Hours)
767
0
767
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
HMTS Template
1 - HMTS Expedited Review Form - DNPAO Message Testing (10.17.17).pdf
11/02/2017
Supplement to the HMTS Template - Narrative Project Description
2 - HMTS Expedited Review Supplement - DNPAO Message Testing (10.17.17) CLEAN.docx
11/02/2017
Messages to be Tested with Mothers
3- APPENDIX A- Messages to be Tested - DNPAO Message Testing (10.17.17) CLEAN.docx
11/02/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.