View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[OADC] One Health Office Healthy Pets, Healthy People Message Testing	Agency IC Tracking Number:	0920-0572-23BR

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
Other-WORD			Att 3-Screener Survey.docx		No		Paper Only

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: 90	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	90	0	90	0	0	0
Annual IC Time Burden (Hours)	90	0	90	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Recruitment Letter	Att 2-Recruitment Letter.docx	12/16/2022
Healthy Pets, Healthy People Message Testing Background	Background.docx	12/16/2022
HMTS Expedited Review Form	HMTS Expedited Review Form 11.15.22_HPHP Message Testing FINAL.pdf	01/20/2023
Human Subjects Determination	Human Subjects Determination.pdf	12/16/2022
Moderator Guide	Att 1-Moderator Guide.docx	01/20/2023

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