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View Information Collection (IC)
View Information Collection (IC)
IC Title:
[OADC] Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing
Agency IC Tracking Number:
0920-0572-24FF
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
Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing _ Screener (24FF)
ATTACHMENT_B_Screener_DNPAO_Message_Testing_030724 (rev 050824) [CLEAN].docx
No
Paper Only
Form and Instruction
0920-0572
Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing _ Interview Guide (24FF)
ATTACHMENT_C_Interv_Guide_DNPAO_Message_Testing_030724.docx
No
Paper Only
Form and Instruction
0920-0572
Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing _ Small Group Discussion Guide (24FF)
ATTACHMENT_D_Disc_Guide_DNPAO_Message_Testing_030724.docx
No
Paper Only
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:
400
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
400
0
400
0
0
0
Annual IC Time Burden (Hours)
675
0
675
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Health Message Testing System (HMTS)_DNPAO Expedited Review Form (24FF)
HMTS_Form_DNPAO_Message_Testing_030724.docx
04/30/2024
List of Attachments to HMTS Expedited Review Form (24FF)
ATTACHMENT_A_Supplement_DNPAO_Message_Testing_030724.docx
04/30/2024
Messages and materials to be tested & Screenshots (24FF)
ATTACHMENT_E_Materials_DNPAO_Message_Testing_030724.docx
04/30/2024
Human Subjects Research Determination (24FF)
ATTACHMENT_F_Non-Research_Determination_Letter_030724.docx
04/30/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.