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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Developing Effective Messages about Excessive Alcohol Consumption: Enhanced Message Development and Testing - Revised Screener
Agency IC Tracking Number:
0920-0572-20BX
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
0920-0572
Focus Group Screener - Revised
0572 CDC Enhanced Message Development Focus Group Screener_1 31 2020.docx
NA
Yes
Yes
Fillable Fileable
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:
64
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
64
0
64
0
0
0
Annual IC Time Burden (Hours)
5
0
5
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Audience Segmentation Survey
0572 CDC Enhanced Message Development Audience Segmentation Survey 1 31 2020.docx
02/03/2020
Focus Group Discussion Guide
0572 CDC Enhanced Message Development Focus Group Discussion Guide 1 31 2020.docx
02/03/2020
HMTS Expedited Review Form
HMTS Expedited Review Form - CDC Alcohol_Message Testing Focus Group Screener.pdf
02/03/2020
Imagery Worksheet
0572 CDC Alcohol - Message Frame - Imagery Worksheet 1 31 2020.docx
02/03/2020
Ranking Worksheet
0572 CDC Alcohol - Message Frame Testing_Ranking Worksheet 1 31 2020.pptx
02/03/2020
Consent Form
0572 CDC Alcohol - Message Frame Testing Consent Form 1 31 2020.docx
02/03/2020
Alcohol Definition Stimuli
0572 CDC Alcohol - definition stimuli 1 31 2020.pptx
02/03/2020
IRB Determination
0572 Protocol Exempt Determination Notice 1 31 2020.pdf
02/03/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.