View Information Collection Request (ICR) Package
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View Information Collection (IC) List
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
0920-0910
ICR Reference No:
201109-0920-009
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Title:
Message Testing for Tobacco Communication Activities (MTTCA)
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
01/04/2012
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/29/2011
Terms of Clearance:
CDC/OSH will submit a separate Information Collection Request to OMB that outlines the information collections needed to evaluate the ACA-funded tobacco communication campaign. The pre- and post-campaign surveys for campaign evaluation are related to developmental work to be conducted under the MTTCA generic clearance, however, these surveys will be conducted under a separate OMB control number.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2015
36 Months From Approved
Responses
44,922
0
0
Time Burden (Hours)
17,325
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The Center's for Disease Control and Prevention's Office on Smoking and Health (OSH) requests OMB approval of a new generic clearance to support a variety of information collections related to message testing for tobacco communication activities.
Authorizing Statute(s):
None
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
76 FR 40914
07/12/2011
30-day Notice:
Federal Register Citation:
Citation Date:
76 FR 60499
09/29/2011
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Digital Media Testing and Copy Testing for Terrie Hall Rough Cuts
None, None
Digital Media Testing for Rough Cuts Screener
,
Digital Media Testing and Copy Testing for Terrie Hall Rough Cuts--Main Questionnaire
National Tobacco Education Campaign: Rough Cut Testing of TV, Print, and Radio Ads
none, none, none, none, none
Screener for General Pop. and AI/AN
,
Screener for Spanish Speaking Hispanics
,
Screener for Spanish Speaking Hispanics - Spanish
,
Main Questionnaire - English
,
Main Questionnaire - Spanish
National Tobacco Prevention and Control Public Education Campaign: Rough Cut Testing of Print and Radio Ads
National Tobacco Prevention and Control Public Education Campaign: Rough Cut Testing of TV Ads
Perceptions of Health Risk from Smokeless Tobacco Products and Nicotine Replacement Therapy among Pregnant Women and Women Planning a Pregnancy
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
44,922
0
0
44,922
0
0
Annual Time Burden (Hours)
17,325
0
0
17,325
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is a new generic clearance.
Annual Cost to Federal Government:
$27,506
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Yes
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Daniel Holcomb 770 488-4472 dwh6@cdc.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
09/29/2011
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