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

View Information Collection (IC)

CDC Older Adult Injury Prevention Creative Campaign Survey 0920-0572-20PL
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0572 Older Adult Injury Prevention Creative Campaign Survey Att 1a_CDC Older Adult Injury Prevention Creative Campaign Survey Screenshots_5.11.20.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

500 0
   
Individuals or Households
 
   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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 83 0 83 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Project Description Att 2_Project Description_CDC Older Adult Injury Prevention Creative Campaign_5.11.20.docx 06/18/2020
PIA Memo PIA Email.pdf 06/18/2020
Mesages to be Tested - CDC Older Adult Injury Prevention Creative Campaign Att 1a_CDC Older Adult Injury Prevention Creative Campaign Survey Screenshots_5.11.20.docx 06/18/2020
HMTS Expedited Review Form HMTSExpeditedReviewForm_CDC Older adult injury prevention creative Campaign survey.pdf 06/18/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.