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CDC's Inside Knowledge Campaign: 2018 Focus Group Research and Testing with the General Public and Hispanic Audiences 0920-18KY
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a English Language Screening Instrument Attachment 2a_IK2017_Screener_ENG_03012018.docx No   Paper Only
Form and Instruction n/a Spanish Language Screening Instrument Attachment 2b_IK2017_Screener_SPN1_03012018.docx No   Paper Only
Form and Instruction n/a English Language Focus Group Discussion Guide Attachment 1a_IK2017_ModGuide_English_03012018.docx No   Paper Only
Form and Instruction n/a Spanish Language Focus Group Discussion Guide Attachment 1b_IK2017_ModGuide_Spanish_03012018.docx No   Paper Only

Health Illness Prevention

 

576 0
   
Individuals or Households
 
   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 576 0 576 0 0 0
Annual IC Time Burden (Hours) 720 0 720 0 0 0
Annual IC Cost Burden (Dollars) 18,821 0 18,821 0 0 0

Title Document Date Uploaded
English Language Consent Form Attachment 3a_Consent Form English081017_05042018.doc 05/04/2018
Spanish Language Consent Form Attachment 3b_Consent Form Spanish081017_05042018.docx 05/04/2018
Creative Concepts Brief Attachment 4_Creative Concepts Brief_081017_05042018.doc 05/04/2018
Documentation - Not Research Involving Human Subjects (no IRB approval required) Attachment5_684_IRB_Form_03012018.pdf 05/04/2018
GENIC Template GenICRequestTemplate 0920-1154_03012018_05042018.docx 05/04/2018
Supporting Statement Part A IK2018_SSA_03012018_05042018.doc 05/04/2018
Supporting Statement Part B IK2018_SSB_03012018_05042018.docx 05/04/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.