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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Development of CDC's Act Against AIDS Social Marketing Campaigns Targeting Consumers
Agency IC Tracking Number:
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 2a Screening Instrument.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2b Exploratory-HIV Testing-IDI.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2c Exploratory-HIV Prevention-IDI.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2d Exploratory-Comm Aware-IDI.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2e Exploratory-PWP-IDI.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2f Consumer Msg Testing-IDI.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2g Consumer Concept Testing-IDI.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2h Consumer Materials Testing-IDI.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2i Exploratory-HIV Testing-FG.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2k Exploratory-HIV Comm Aware-FG.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2l Exploratory-HIV PWP-FG.docx
No
No
Fillable Printable
Other-WORD
Att 2j Exploratory-HIV Prevention-FG.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2m Consumer Concept Testing-FG.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2n Consumer Message Testing-FG.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2o Consumer MaterialsTesting.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2p Paper Pencil - HIV Testing.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2q Paper Pencil - HIV Prevention.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2r Paper Pencil - HIV Comm and Awarness.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2s Paper Pencil - HIV Prevention with Positives.docx
Yes
Yes
Fillable Printable
Other-WORD
Att 2t Intercept Guide.docx
Yes
Yes
Fillable Printable
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:
5,038
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
5,038
0
0
0
0
0
Annual IC Time Burden (Hours)
2,061
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Sup Sta A
Supporting Statement A.docx
11/06/2013
Sup Sta B
Supporting Statement B.docx
11/06/2013
Att 1_Authorizing Legislation
Att 1_Authorizing Legislation.pdf
11/06/2013
Att 3a Consent Form-Exploratory-IDI FG
Att 3a Consent Form-Exploratory-IDI FG.docx
11/06/2013
Att 3b Consent Form-Msg Testing-IDI FG
Att 3b Consent Form-Msg Testing-IDI FG.docx
11/06/2013
Att 3c Consent Form-Intercept
Att 3c Consent Form-Intercept.docx
11/06/2013
Att 4 Data Management Ack
Att 4 Data Management Ack.docx
11/06/2013
Att 5 Intercept Receipt Form
Att 5 Intercept Receipt Form.docx
11/06/2013
Att 6 Messages
Att 6 Messages.docx
11/06/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.