OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Cross-sectional Survey for the Evaluation of the CDC Youth Media Campaign

ICR 200503-0920-004 · OMB 0920-0646 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
37804 Cross-sectional Survey for the Evaluation of the CDC Youth Media Campaign Migrated
ICR Details
0920-0646 200503-0920-004
Historical Active 200404-0920-005
HHS/CDC
Cross-sectional Survey for the Evaluation of the CDC Youth Media Campaign
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/23/2005
Retrieve Notice of Action (NOA) 03/23/2005
  Inventory as of this Action Requested Previously Approved
08/31/2007 08/31/2007 08/31/2007
31,325 0 25,840
2,365 0 1,548
0 0 0
The collected data will be used to assess the effects of CDC's Youth Media Campaign on a national level. This outcome evaluation is designed to assess the extent to which changes in target audience knowledge, attitudes, beliefs, and behaviors related to engagement in healthful, physical activities can be attributed to exposure to the Campaign. Use of a cross-sectional sample design will allow researchers to assess change across campaign years and make comparisons with the longitudinal data collected earlier in the campaign.
None
None
No
1
IC Title Form No. Form Name
Cross-sectional Survey for the Evaluation of the CDC Youth Media Campaign
  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 31,325 25,840 0 5,485 0 0
Annual Time Burden (Hours) 2,365 1,548 0 817 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
03/23/2005