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:
0920-0910
ICR Reference No:
201412-0920-008
Status:
Historical Active
Previous ICR Reference No:
201312-0920-001
Agency/Subagency:
HHS/CDC
Agency Tracking No:
20995
Title:
Message Testing for 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:
03/02/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/19/2014
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2018
36 Months From Approved
03/31/2015
Responses
132,648
0
73,694
Time Burden (Hours)
32,994
0
14,438
Cost Burden (Dollars)
0
0
0
Abstract:
This is a three-year renewal request to the 0920-0910 MTTCA clearance to encompass the proposed activities. We added additional capacity to account for unanticipated future activities. We are requesting a 20% increase in the estimated annualized number of responses and a 52% increase in burden hours starting on the current expiration date of January 31, 2015. The new estimated annualized number of responses is 44,216 and the estimated annualized burden hours are 10,998. CDC will continue to use the MTTCA clearance to develop and test messages and materials for current and future phases of the ACA-funded media campaign, as well as OSH's ongoing programmatic initiatives including, but not limited to, the Media Campaign Resource Center, reports from the Office of the Surgeon General, and other communication efforts and materials. The MTTCA generic clearance may also be used to facilitate the development of tobacco-related health communications of interest for CDC collaborative efforts with other federal partners including, but not limited to, the Food and Drug Administration, the Substance Abuse and Mental Health Services Administration, the National Institutes of Health, and the National Cancer Institute. The MTTCA clearance is sufficient to test tobacco related messages developed by CDC. .
Authorizing Statute(s):
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
PL:
Pub.L. 111 - 148 399-V
Name of Law: Patient Protection and Affordable Care 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:
79 FR 46829
08/11/2014
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 74724
12/16/2014
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
Message Platform Testing for Regular Cigarettes and Dual Use
National Tobacco Education Campaign Rough Cut Testing of Television Advertisements
NA, NA, NA
Online Questionnaire Recruitment Screener
,
Online Questionnaire
,
Online Questionnaire Recruitment Screener / Questionnaire - Screenshots
National Tobacco Education Campaign: Creative Concept Testing
NA, NA, NA, NA, NA, NA, NA
Recruitment Screener for Online Questionnaire
,
Online Questionnaire
,
Focus Group Screener
,
Pre-Focus Group Questionnaire and Informed Consent
,
Focus Group Moderator Guide - Exclusive Smokers
,
Focus Group Moderator Guide - Dual User
,
Participant Feedback Questionnaire
Parents' Perceptions of Public Service Announcement Concepts on Electronic Nicotine Delivery Systems
none, none
Screener
,
Moderator's Guide
Rough Cut Testing for the 2016 Tips Campaign
none, none
Screener
,
Survey Screenshots
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
132,648
73,694
0
58,954
0
0
Annual Time Burden (Hours)
32,994
14,438
0
18,556
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:
Due to error in previous submission burden totals were increased to account for 3 years of approval under this Generic clearance as opposed to the annualized number. Additionally, We added additional capacity to account for unanticipated future activities. We are requesting a 20% increase in the estimated annualized number of responses and a 52% increase in burden hours.
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:
Catina Conner 4046394775
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:
12/19/2014
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