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

Developing Effective Messages about Excessive Alcohol Consumption: Enhanced Message Development and Testing 0920-0572-19BDF
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0572 Focus Group Screener 0572 CDC Enhanced Message Development Focus Group Screener final.docx No   Fillable Fileable
Form and Instruction 0920-0572 Focus Group Discussion Guide 0572 CDC Enhanced Message Development Focus Group Discussion Guide final.docx No   Fillable Fileable
Form and Instruction 0920-0572 Audience Segmentation Survey 0572 CDC Enhanced Message Development Audience Segmentation Survey final.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,896 0
   
Individuals or Households
 
   95 %

  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 1,896 0 1,896 0 0 0
Annual IC Time Burden (Hours) 216 0 216 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Expedited Review Form Focus Group HMTS Expedited Review Form CDC Alcohol_Message Testing Focus Groups_12-6-18 -signed ICRO.pdf 05/30/2019
Expedited Review From Online Survey HMTS Expedited Review Form_CDC Alcohol Audience Survey_12-6-18 signed final.pdf 06/18/2019
Consent Form 0572 CDC Alcohol - Message Frame Testing Consent Form.docx 05/30/2019
Exempt Determination 0572 Protocol Exempt Determination Notice.pdf 05/30/2019
Alcohol Definition PPT 0572 Alcohol definition stimuli.pptx 05/30/2019
Imagery Worksheet 0572 CDC Alcohol - Message Frame - Imagery Worksheet.docx 05/30/2019
Ranking Worksheet 0572 CDC Alcohol - Message Frame Testing_Ranking Worksheet.pptx 06/18/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.