View Information Collection Request (ICR) Package
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View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
0990-0281
ICR Reference No:
201206-0990-006
Status:
Historical Inactive
Previous ICR Reference No:
200808-0990-001
Agency/Subagency:
HHS/HHSDM
Agency Tracking No:
Title:
Prevention Communication Formative Research
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Improperly submitted and continue
Conclusion Date:
07/09/2012
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/30/2012
Terms of Clearance:
OMB returns this collection as "improperly submitted" because it requires a "Supporting Statement, Part B."
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2012
36 Months From Approved
07/31/2012
Responses
1,742
0
1,742
Time Burden (Hours)
4,200
0
4,200
Cost Burden (Dollars)
0
0
0
Abstract:
This information will be used as formative research to develop messages and materials in support of the development of disease prevention and health promotion information, including the 2005 Dietary Guidelines. It is necessary to obtain consumer input to better understand the information needs, attitudes and beliefs of the audience in order to tailor messages, as well as to assist with clarity, understandability and acceptance of prototyped messages and materials.
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:
77 FR 21562
04/10/2012
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 38290
06/27/2012
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
27
IC Title
Form No.
Form Name
In person card sorting - Card Sort
In person card sorting - Confidentiality Agreement
In person card sorting - Screener
Remote focus groups (consumers with limited health literacy and/or Spanish speakers) - Focus Groups
Remote focus groups (consumers with limited health literacy and/or Spanish speakers) - Confidentiality Agreement
Remote focus groups (consumers with limited health literacy and/or Spanish speakers) - Screener
Remote focus groups (health intermediaries) - Confidentiality Agreement
Remote focus groups (health intermediaries) - Focus Groups
Remote focus groups (health intermediaries) - Screener
Remote focus groups (public health professionals) - Confidentiality Agreement
Remote focus groups (public health professionals) - Focus Group
Remote focus groups (public health professionals) - Screener
Remote usability, prototype and concept testing - Confidentiality Agreement
Remote usability, prototype and concept testing - Screener
Remote usability, prototype and concept testing - Web test
Remote, in depth interviews (consumers with limited health literacy and/or Spanish speakers) - Interview
Remote, in depth interviews (consumers with limited health literacy and/or Spanish speakers) - Confidentiality Agreement
Remote, in depth interviews (consumers with limited health literacy and/or Spanish speakers) - Screener
Remote, in depth interviews (health intermediaries) - Confidentiality Agreement
Remote, in depth interviews (health intermediaries) - Interview
Remote, in depth interviews (health intermediaries) - Screener
Remote, in depth interviews (public health professionals) - Confidentialty Agreement
Remote, in depth interviews (public health professionals) - Interview
Remote, in depth interviews (public health professionals) - Screener
Web-based card sorting - Card Sort
Web-based card sorting - Confidentiality Agreement
Web-based card sorting - Screener
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$200,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
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]?
No
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:
Sherrette Funn-Coleman 2026905683
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:
06/30/2012
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