View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

[OADC] CDC/DNPAO State and Community Health Media Cetner Ad Testing 0920-0572-23HJ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0572 Screener for Physical Activity Ads Survey Attachment C1 Screener for Physical Activity Ads Survey.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Screener for Sugary Drinks Ads Survey Attachment D1 Screener for Sugary Drinks Ads Survey.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Screener for Infant and Toddler Nutrition Ads Survey Attachment E1 Screener for Infant and Toddler Nutrition Ads Survey.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Survey for Physical Activity Ads Attachment C2 Survey for Physical Activity Ads.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Survey for Sugary Drinks Ads Attachment D2 Survey for Sugary Drinks Ads.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Survey for Infant and Toddler Nutrition Ads Attachment E2 Survey for Infant and Toddler Nutrition Ads.docx Yes Yes Fillable Fileable

Health Health Care Services

 

7,425 0
   
Individuals or Households
 
   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 7,425 0 7,425 0 0 0
Annual IC Time Burden (Hours) 1,725 0 1,725 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
List of attachments to HMTS Expedited Review Form ATTACHMENT A- Supplement to HMTS Expedited Review - SCHMC Ad Testing 2023 ( revised 5-9-23).docx 08/04/2023
Ads to be tested ATTACHMENT B-Ads to be tested - SCHMC Ad Testing 2023- 3-30-23.docx 08/04/2023
Screen Captures of Screener and Survey for Physical Activity Ads Attachment C3 Screen Captures of Screener and Survey for Physical Activity Ads.docx 08/09/2023
Screen Captures of Screener and Survey for Sugary Drinks Ads Attachment D3 Screen Captures of Screener and Survey for Sugary Drinks Ads.docx 08/09/2023
Screen Captures of Screener and Survey for Infant and Toddler Nutrition Ads Attachment E3 Screen Captures of Screener and Survey for Infant and Toddler Nutrition Ads.docx 08/09/2023
HMTS Expedited Review Form HMTS Form- SCHMC Ad Testing 2023- rev 5-9-2023.docx 08/09/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.