View Information Collection Request (ICR) Package
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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:
201312-0920-001
Status:
Historical Active
Previous ICR Reference No:
201109-0920-009
Agency/Subagency:
HHS/CDC
Agency Tracking No:
20995
Title:
Testing and Evaluation of Tobacco Communication Activities
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
01/02/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/02/2013
Terms of Clearance:
Previous terms continue: 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
01/31/2015
01/31/2015
Responses
73,694
0
44,922
Time Burden (Hours)
14,438
0
17,325
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 revision to currnelty approved generic clearance to support a variety of information collections related to the development, implementation and evaluation of tobacco-related health messages and campaigns.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 399-V
Name of Law: Patient Protection and Affordable Care Act
PL:
Pub.L. 111 - 31 387
Name of Law: Family Smoking Prevention and Tobacco Control Act
US Code:
42 USC 301
Name of Law: Public Health Service Act
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:
78 FR 53461
08/29/2013
30-day Notice:
Federal Register Citation:
Citation Date:
78 FR 69854
11/21/2013
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
8
IC Title
Form No.
Form Name
Copy Testing of Television and Print Ads
none, none, none
Screener
,
Survey
,
Survey Screenshots
CopyTesting of Television Advertising
none, none, none
Screener
,
Main Questionnaire
,
Screenshots
Digital Media Copy Testing for Click-to-Call Ads
Message Platform Testing for Development of Future Advertising
none
Screenshots of Survey Screener and Survey Main Questionnaire
Rough Cut Testing of English Language Television, Print, Digital Print, and Radio Ads for the Tips 2014 National Campaign
none, none, none
Survey screenshots
,
Screener
,
Questionnaire
Rough Cut Testing of English Language Television, Radio, Print, and Digital Advertisements for the 2015 Tips Campaign
none
Screenshots -Screener and Questionnaire
Rough Cut Testing of Spanish Language Television, Print, Digital Print, and Radio Ads for the Tips 2014 National Campaign
none, none, none
1a - Screener - Spanish
,
1b - Questionnaire - Spanish
,
5 - Screenshots of questionnaire
Rough Cut Testing of Spanish, Chinese, Korean, and Vietnamese Print Advertisements for the 2015 Tips Campaign
none, none, none, none, none, none, none, none
Screener in Chinese
,
Screener in Korean
,
Screener in Spanish
,
Screener in Vietnamese
,
Main Questionnaire in Chinese
,
Main Questionnaire in Korean
,
Main Questionnaire in Spanish
,
Main Questionnaire in Vietnamese
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
73,694
44,922
0
0
28,772
0
Annual Time Burden (Hours)
14,438
17,325
0
0
-2,887
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
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:
In the original submission the program did not account for the number of responses that would be needed to screen potential participants for inclusion in message testing activities. This revision makes an adjustment to account for screening burden. They are also requesting modest increases in the number of responses and burden hours associated with surveys that support message development and testing. This revision does not change the current expiration date of the generic clearance, 1/31/2015.
Annual Cost to Federal Government:
$33,909
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:
Tony Richardson 404 639-4965 lmr7@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:
12/02/2013