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View Information Collection (IC)

[NCIPC] Formative Research for Firearm Violence and Community Violence Messaging 0920-1154-24BL
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Firearm Injury and Death Survey and Consent Att 1. FA Survey and Consent.docx Yes Yes Fillable Fileable
Form and Instruction n/a Firearm Injury and Death Focus Group Att 2. FA FGD Guide and Consent.docx Yes Yes Fillable Fileable
Form and Instruction n/a Firearm Injury and Death Focus Group Screening Att 3. FA FGD Screening Form.docx Yes Yes Fillable Fileable
Form and Instruction n/a Community Violence Survey and Consent Att 6. CV Survey and Consent.docx Yes Yes Fillable Fileable
Form and Instruction n/a Community Violence Focus Group Att 7. CV FGD Guide and Consent.docx Yes Yes Fillable Fileable
Form and Instruction n/a Community Violence Focus Group Screening Att 8. CV FGD Screening Form.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,344 0
   
Individuals or Households
 
   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 1,344 0 0 0 0 1,344
Annual IC Time Burden (Hours) 402 0 0 0 0 402
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Firearm Messages for Testing Att 4. FA I&D Messages for Testing.docx 12/04/2023
Firearm Images for Testing Att 5. FA Images for Testing.docx 12/04/2023
Community Violence Messages for Testing Att 9. CV Messages for Testing.docx 12/04/2023
Community Violence Images for Testing Att 10. CV Images for Testing.docx 12/04/2023
PIA Att 11_ Firearm Violence and Community Violence Messaging-OMB-PII-Privacy Act-Determination.pdf 12/04/2023
Firearm Research Determination Att 12_FA Message STARS Determination_Final.docx 12/04/2023
Community Violence Research Determination FINAL CV project determination.pdf 12/04/2023
SSA Supporting Statement A (0920-1154) FA and CV_updated (003)_final.docx 12/04/2023
SSB Supporting Statement B (0920-1154) FA and CV.docx 12/04/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.