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View Information Collection (IC)
View Information Collection (IC)
IC Title:
CDC Enhanced Message Development and Testing to Prevent Excessive Alcohol Consumption Study – Creative Concept Testing Focus Groups/Copy Testing Survey
Agency IC Tracking Number:
0920-0572-20QL
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
0920-0572
CDC Alcohol - Creative Concept Testing Rating Worksheet
CDC Alcohol - Crateive Concept Testing_Rating Worksheet_0424 Uncon&Noncom (1).pptx
No
Fillable Fileable
Form
0920-0572
CDC Alcohol Creative Concept Testing Ranking Worksheet - Concerned
CDC Alcohol - Creative Concept Testing_Ranking Worksheet_0424 Concerned (1).pptx
No
Fillable Printable
Form
0920-0572
Creative Concept Testing Ranking Worksheet Uncon&Noncom
CDC Alcohol - Creative Concept Testing_Ranking Worksheet_0424 Uncon&noncom (1).pptx
No
Fillable Printable
Form
0920-0572
Creative Concept Testing Rating - concerned
CDC Alcohol - Creative Concept Testing_Rating Worksheet_0424 Concerned (1).pptx
No
Fillable Fileable
Instruction
CDC Alcohol - Enhanced Message Development Focus Group Discussion Guide_CONCERNED FINAL (1).docx
No
Paper Only
Instruction
CDC Alcohol - Enhanced Message Development Focus Group Discussion Guide_NONCOMMITTAL FINAL (1).docx
No
Paper Only
Instruction
CDC Alcohol - Enhanced Message Development Focus Group Discussion Guide_UNCONCERNED FINAL (1).docx
No
Paper Only
Instruction
CDC Alcohol - Enhanced Message Development Survey Draft (1).docx
No
Paper Only
Form
0920-0572
Screener
CDC Alcohol - Screener_CDC Creative Concept Testing Focus Group (1).docx
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:
596
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
54 %
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
596
0
596
0
0
0
Annual IC Time Burden (Hours)
397
0
397
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval (Focus Group)
CDC Alcohol - HMTS Expedited Review Form CDC Alcohol_Creative Concept Testing Focus Group (1).pdf
07/15/2020
Request for Approval (Copy Testing)
CDC Alcohol - HMTS Expedited Review Form CDC Alcohol_Copy Testing Survey (1).pdf
07/15/2020
Definitions Stimuli
CDC Alcohol -definition stimuli 3-15-19 (1).pptx
07/15/2020
Focus Group Consent
CDC Alcohol - Creative Concept Testing Consent Form_FINAL (1).docx
07/15/2020
Creative Materials
Final creative materials_presentation_7.16.20.ppt
08/06/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.