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View Information Collection (IC)
View Information Collection (IC)
IC Title:
[OADC] Formative Evaluation to Assess the Effectiveness of Excessive Alcohol Use Prevention Messages - Public Health Stakeholder Focus Groups
Agency IC Tracking Number:
0920-0572-23DS
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
0920-23DS
Attachment 8_Online Panel Survey_FINAL (002)
Attachment 8_Online Panel Survey_FINAL (002).docx
Yes
Yes
Fillable Fileable
Form
0920-23DS
Attachment 4_Focus Group Consent Form_FINAL
Attachment 4_Focus Group Consent Form_FINAL.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
150
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
150
0
150
0
0
0
Annual IC Time Burden (Hours)
87
0
87
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
HMTS Expedited Review Form_CDC Alcohol Focus Groups_FINAL
HMTSExpeditedReviewForm_CDC Alcohol Focus Groups_FINAL.pdf
03/23/2023
Attachment 2_CDC Alcohol_Message Evaluation Plan_FINAL
Attachment 2_CDC Alcohol_Message Evaluation Plan_FINAL.docx
03/23/2023
Attachment 3_Focus Group Email Template_FINAL
Attachment 3_Focus Group Email Template_FINAL.docx
03/23/2023
Attachment 5_Focus Group Screener and Discussion Guide_updated FINAL
Attachment 5_Focus Group Screener and Discussion Guide_updated FINAL.docx
03/23/2023
Attachment 4_Focus Group Consent Form_FINAL
Attachment 4_Focus Group Consent Form_FINAL.docx
03/23/2023
Attachment 6_Community Guide Recommendations to Prevent Excessive Alcohol Use_FINAL
Attachment 6_Community Guide Recommendations to Prevent Excessive Alcohol Use_FINAL.docx
03/23/2023
Attachment 7_Transcript Coding Manual_Focus Group Guide_FINAL
Attachment 7_Transcript Coding Manual_Focus Group Guide_FINAL.docx
03/23/2023
Attachment 1_Public Health Stakeholder Audiences_FINAL_updated
Attachment 1_Public Health Stakeholder Audiences_FINAL_updated.pdf
03/23/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.