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View Information Collection (IC)
View Information Collection (IC)
IC Title:
"Talk. They Hear You." Public Service Announcement Focus Group Protocols
Agency IC Tracking Number:
IC Status:
Unchanged
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
UAD TTHY_Focus Groups Screener
UAD TTHY_Focus Groups Screener
2021 OMB Package_UAD TTHY_Focus Groups Screener_Attachment B_REV 1_FINAL_012522.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
“Talk. They Hear You.” Public Service Announcement Focus Group Protocols
FR Citation:
75 FR 28264
Number of Respondents:
1,192
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
1,192
0
0
0
0
1,192
Annual IC Time Burden (Hours)
110
0
0
0
0
110
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2021 OMB Package_UAD TTHY_Focus Groups Submission Memo
2021 OMB Package_UAD TTHY_Focus Groups Submission Memo_REV 1_FINAL_012522.docx
01/26/2022
2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A
2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A_REV 1_FINAL_011322.docx
01/26/2022
2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C
2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C_REV 1_FINAL_011322.docx
01/26/2022
2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D
2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D_REV 1_FINAL_011322.docx
01/26/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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