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:
0920-0572
ICR Reference No:
202108-0920-006
Status:
Historical Active
Previous ICR Reference No:
201806-0920-001
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0572
Title:
CDC and ATSDR Health Message Testing System
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
10/07/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/31/2021
Terms of Clearance:
Previous terms continue: Approved consistent with understanding that for each information collection, a GenIC information collection request will be prepared and submitted to OMB for review and approval. Any changes to the ICR will also be submitted to OMB for review and approval.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2024
36 Months From Approved
10/31/2021
Responses
55,575
0
55,575
Time Burden (Hours)
7,410
0
7,410
Cost Burden (Dollars)
0
0
0
Abstract:
CDC must communicate about hazards, outbreaks and other emergencies that present an urgent health threat to the public. Untested messages can waste communication resources and opportunities because the messages can be perceived as unclear or irrelevant. OADC-CDC requests a reinstatement without change for the generic clearance for an expedited review of items to be used in health message testing to ensure the public will understand health messages and take recommended action.
Authorizing Statute(s):
US Code:
42 USC 241
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:
86 FR 28354
05/26/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 4472
08/13/2021
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
CDC Older Adult Injury Prevention Creative Campaign - Survey
0920-22EC
Attachment 1_Still Going Strong 2021-2022 Survey Questions 1.19.22 (002)
CDC Screen for Life Pretesting Focus Groups
0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572
Screen For Life Focus Group Screener - English
,
Screen For Life Focus Group Screener - Spanish
,
Screen For Life Focus Group Consent - English
,
Screen For Life Focus Group Consent - Spanish
,
Screen For Life Focus Group Discussion Guide - English
,
Screen For Life Focus Group Discussion Guide - Spanlish
Centers for Disease Control and Prevention (CDC) Inside Knowledge (IK) Formative Focus Group Research
0920-22JE, 0920-22JE
Attachment B. Consumer Focus Group Participant Screener
,
Attachment C. Health Provider Focus Group Participant Screener
DNPAO Message and Materials Testing
0920-22IZ, 0920-22IZ
Screener
,
Discussion Guide
Dating Matters - Rebranding
0920-22IO
Att. 1_ DM FGD recruitment & Screening form
Evaluation of a Latent Tuberculosis Infection (LTBI) Awareness Campaign
0920-22FW, 0920-22FW, 0920-22FW, 0920-22FW
Attachment 3a. Appendix B. Consumer Survey Instrument for Exposed
,
Attachment 4a. Appendix C. Consumer Survey Instrument for Unexposed
,
Attachment 5. Appendix D. HCP Survey Instrument for Exposed
,
Attachment 6. Appendix E. HCP Survey Instrument for Unexposed
Health Equity Message Testing
0920-0572, 0920-0572
In-Depth Interviews: Communication Materials
,
Focus Groups: Communication Materials
Impact Evaluation Demonstration Project DDP/LCP
0920-22DZ, 0920-22DZ, 0920-22DZ
Attachment D. Screener and Survey
,
Attachment E. Survey Consent
,
Attachment G. Enrollment Log
Intimate Partner Violence / Sexual Violence Prevention Message Testing
None
Focus Group Discussion Guide
Message and Materials Testing to Expand Essentials for Parenting
0920-22EZ, 0920-22EZ
Recruitment Screener
,
Focus Group Discussion
PRETESTING HEALTH COMMUNICATION RESOURCES WITH IMMIGRATION APPLICANTS WITH B1 OR B2 TUBERCULOSIS CLASSIFICATIONS
0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572
Educational Video (script)
,
B1 Your Health and Moving to the United States
,
B2 Moving to the United States and Your Health
,
B1 Applicant Intercept Interview Guide
,
B1 Applicant Consent Script (Chest X-Ray)
,
B2 Applicant Consent Script (Child's Blood Test)
,
Clinic Staff In-depth Interview Consent Script
,
In-depth Interview Guide
,
B1 Client Recruitment Script
,
B2 Client Recruitment Script
,
B1 Client Screener
,
B2 Client Screener
Sexual health communication among young adults.
0920-22FQ
B.DSTDP_sexual comms young adults_Informed consent_Screener_Questionnaire
Syringe Service Programs (SSPs) Communication Toolkit - Faith-Based Organizations (FBOs)
0920-0572, 0920-0572
Syringe Service Programs (SSPs) Communication Toolkit - Faith-Based Organizations (FBOs) Survey
,
Syringe Service Programs (SSPs) Communication Toolkit - Faith-Based Organizations (FBOs) Screener
Tick- and Mosquito-borne Disease Prevention Message Evaluation
0920-0572, 0920-0572, 0920-0572
Focus Group Screening Form
,
Focus Group Invitation
,
Focus Group Discussion Guide
[OADC] (genIC) Materials Testing of the MyMobility Plan (MMP) and Associated Materials
0920-0572, 0920-0572, 0920-20572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572
Screener (24CQ)
,
Consent Form Main Sample (24CQ)
,
Consent Form Tribal Sample (24CQ)
,
Baseline Survey (24CQ)
,
Weekly Surveys Treatment Group (24CQ)
,
Weekly Surveys Control Group (24CQ)
,
Follow-Up Survey (24CQ)
,
Tribal Survey (24CQ)
,
Baseline Survey (24CQ) Edited
,
Tribal Survey (24CQ) Edited
[OADC] CDC/DNPAO State and Community Health Media Cetner Ad Testing
0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572
Screener for Physical Activity Ads Survey
,
Screener for Sugary Drinks Ads Survey
,
Screener for Infant and Toddler Nutrition Ads Survey
,
Survey for Physical Activity Ads
,
Survey for Sugary Drinks Ads
,
Survey for Infant and Toddler Nutrition Ads
[OADC] Centers for Disease Control and Prevention (CDC) Inside Knowledge (IK) Material Testing
0920-0572, 0920-0572
CDC Inside Knowledge Message Testing
,
Programmed Message Test Online Version (24GY)
[OADC] DSMES Playbook Survey at ADCES Exhibit Hall
0920-0572
ADCES Exhibit Hall Playbook Survey
[OADC] Developing and Testing New Infographics for Health Equity
0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572
General Population Screening Questionnaire
,
Screening Questionnaire
,
General Population Quantitative Testing Instrument
,
Public Health Professionals Quantitative Testing Instrument
,
Qualitative Focus Group Discussion Guide – All Audiences
[OADC] Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing
0920-0572, 0920-0572, 0920-0572
Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing _ Screener (24FF)
,
Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing _ Interview Guide (24FF)
,
Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing _ Small Group Discussion Guide (24FF)
[OADC] Formative Evaluation to Assess the Effectiveness of Excessive Alcohol Use Prevention Messages - Public Health Stakeholder Focus Groups
0920-23DS, 0920-23DS
Attachment 8_Online Panel Survey_FINAL (002)
,
Attachment 4_Focus Group Consent Form_FINAL
[OADC] HEADS UP! Parents Messaging Concussion Care Message Materials Testing
0920-23CH
Attachment C_FGD screener
[OADC] In Depth Interviews with Obstetric Nurses and Obstetric Nurse Practitioners to Test Hear Her Campaign Materials
0920-23HZ, 0920-23HZ
Interview Guide
,
Screening/Interview Guide
[OADC] Infant Feeding Message Testing in Radiation Emergencies
n/a, n/a
Infant Feeding Screening Instrument
,
Infant Feeding Moderators Guide
[OADC] One Health Office Healthy Pets, Healthy People Message Testing
[OADC] Still Going Strong Campaign Expansion Pilot Testing Survey
n/a, n/a, n/a
Survey Invitation
,
General Older Adults Survey
,
Tribal Elders Survey
[OC] DCPC Screen for Life
0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920--0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572
Recruitment Language - English
,
Recruitment Language - Spanish
,
Screener - English_paper
,
Screener - English_online
,
Screener - Spanish_paper
,
Screener - Spanish_online
,
Informed Consent - English
,
Informed Consent - Spanish
,
Questionnaire-English_paper
,
Questionnaire-English_online
,
Questionnaire-Spanish_paper
,
Questionnaire-Spanish_online
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
55,575
55,575
0
0
0
0
Annual Time Burden (Hours)
7,410
7,410
0
0
0
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:
Annual Cost to Federal Government:
$1,550,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
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?
No
Agency Contact:
Odion Clunis 770 488-0045 lta2@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:
08/31/2021