OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Formative Research on Issues Related to the Use of Mass Media in African-American Women

ICR 200409-0920-015 · OMB 0920-0652 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
37807 Formative Research on Issues Related to the Use of Mass Media in African-American Women Migrated
ICR Details
0920-0652 200409-0920-015
Historical Active 200406-0920-001
HHS/CDC
Formative Research on Issues Related to the Use of Mass Media in African-American Women
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/30/2004
Retrieve Notice of Action (NOA) 09/30/2004
  Inventory as of this Action Requested Previously Approved
08/31/2006 08/31/2006 08/31/2006
320 0 1
90 0 90
0 0 0
This project seeks to solicit information from African-American women about their knowledge, attitudes, and beliefs about breast cancer screening and their local screening provider. We will also examine participants' source, message, and channel preferences for gathering information about health information and services. Respondents will be aged 40-64 years, residents of Georgia, and eligible for participation in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). Information will be used to inform development of media campaigns designed to increase awareness of NBCCEDP services...
None
None
No
1
IC Title Form No. Form Name
Formative Research on Issues Related to the Use of Mass Media in African-American Women
  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 320 1 0 319 0 0
Annual Time Burden (Hours) 90 90 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/30/2004