Information Collection Request

CDC and ATSDR Health Message Testing System

ICR 200904-0920-011 · OMB 0920-0572 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
0920-0572 REVISED_Health_Message_Testing_System_-_Attachment_4_-_Demographic_Questions1 (4).doc Supplementary Document Uploaded 2009-04-23 Repair queued
0920-0572 Justification for Change Request.doc Justification for No Material/Nonsubstantive Change Uploaded 2009-04-23 Available
Health Message Testing System - Attachment 9 - Follow-Up Questions.doc Supplementary Document Uploaded 2008-06-25 Repair queued
Health Message Testing System - Attachment 8 - Activity-Task Questions.doc Supplementary Document Uploaded 2008-06-25 Repair queued
Health Message Testing System - Attachment 11 - IRB Ruling.doc Supplementary Document Uploaded 2008-06-10 Available
Health Message Testing System - Attachment 7 - Core Questions.doc Supplementary Document Uploaded 2008-06-25 Repair queued
Health Message Testing System - Attachment 5 - Market Research Experience Questions.doc Supplementary Document Uploaded 2008-06-25 Repair queued
Health Message Testing System - Attachment 6 - Introductory Questions.doc Supplementary Document Uploaded 2008-06-25 Repair queued
Health Message Testing System - Attachment 4 - Demographic Questions.doc Supplementary Document Uploaded 2008-06-25 Repair queued
Health Message Testing Statement - Attachment 3 - Health Message Testing System Expedited Review Form.doc Supplementary Document Uploaded 2008-06-10 Repair queued
Health Message Testing Statement - Attachment 2 - FRN.pdf Supplementary Document Uploaded 2008-06-10 Available
Health Message Testing Statement - Attachment 1 - Authorizing Legislation.doc Supplementary Document Uploaded 2008-06-10 Available
REVISED Supporting Statement Part A 101508.doc Supporting Statement A Uploaded 2008-10-28 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
187037 Questionnaire Bank Other-Interview Unchanged
ICR Details
0920-0572 200904-0920-011
Historical Active 200806-0920-006
HHS/CDC
CDC and ATSDR Health Message Testing System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/24/2009
Retrieve Notice of Action (NOA) 04/23/2009
Consistent with previous terms of clearance: If CDC chooses to use questions outside of those currently approved in the questionnaire bank, they must submit either a change request, or in the case of a new instrument, a Generic IC request, to OMB. In either case, CDC should submit a mini-supporting statement explaining why the additional questions or instruments are needed and how they will be used.
  Inventory as of this Action Requested Previously Approved
11/30/2011 11/30/2011 11/30/2011
6,000 0 6,000
3,000 0 3,000
0 0 0

CDC/NCHM is requesting approval for a revision of Health Message Testing System (HMTS). CDC must communicate hazards, outbreaks and other emergencies that present an urgent health threat to the public.

US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  73 FR 20296 04/15/2008
73 FR 34021 06/16/2008
No

1
IC Title Form No. Form Name
Questionnaire Bank

  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 6,000 6,000 0 0 0 0
Annual Time Burden (Hours) 3,000 3,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Minor revisions to this Generic IC resulted in a reduction in burden hours but an increase in the number of responses for the next three year period.

$1,550,000
No
No
Uncollected
Uncollected
No
Uncollected
Carol Walker 4046394773

  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.
04/23/2009