View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Health Equity Message Testing	Agency IC Tracking Number:	0920-0572-22EG

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	In-Depth Interviews: Communication Materials	734_CDC_HE_IDI Comm Materials_FINAL_02.04.2022_CLEAN.docx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-0572	Focus Groups: Communication Materials	734_CDC_HE_Focus Groups Comm Materials_FINAL_02.04.2022_CLEAN.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:	FR Citation:

Number of Respondents: 71	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	71	0	71	0	0	0
Annual IC Time Burden (Hours)	99	0	99	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Expedited Review Form	0920-0572 GenIC - Health Message Testing System Expedited Review Form_Health Equity Message Testing Protocol 7392.docx	04/18/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.