OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Field Test of Communication and Marketing Variables for Health Protection

ICR 200911-0920-001 · OMB 0920-0845 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
SS PART B .doc.docx Supporting Statement B Uploaded 2009-10-20 Available
ATTACHMENT 1 Legal authority.doc Supplementary Document Uploaded 2009-10-13 Available
ATTACHMENT 6 WESTAT IRB MEMO.docx Supplementary Document Uploaded 2009-10-13 Repair queued
ATTACHMENT 5 PUBLIC COMMENT ON FEDERAL REGISTER.docx Supplementary Document Uploaded 2009-10-13 Available
ATTACHMENT 2 60 DAY FEDERAL REGISTER NOTICE.pdf Supplementary Document Uploaded 2009-10-13 Available
SS PART A (2).doc.docx Supporting Statement A Uploaded 2009-10-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
191178 Field Test Survey Instrument (Web and Telephone) Other-Web Survey New
191177 Field Test Screening Instrument Other-Screener New
ICR Details
0920-0845 200911-0920-001
Historical Active
HHS/CDC
Field Test of Communication and Marketing Variables for Health Protection
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 02/08/2010
Retrieve Notice of Action (NOA) 11/03/2009
This approval is for developmental work that will be conducted in three steps: cognitive interviews, a series of pilot tests, and a field test. CDC will submit a nonsubstantive change package between the pilot and field testing components. If there are only editorial changes to the wording of the questions, then CDC can proceed to the field test as soon as those changes have been shared with OMB informally. CDC understands that OMB does not consider Knowledge Networks (KN) to be an appropriate frame for defining a representative sample. Thus, approval is only being given for using the results of the KN for the purposes of studying mode effects (phone vs. web-based recruiting and administration).
  Inventory as of this Action Requested Previously Approved
02/29/2012 12 Months From Approved
21,182 0 0
1,222 0 0
0 0 0
The Centers for Disease Control and Prevention aims to develop an instrument that contains a core set of health communication and marketing variables that can be used to monitor and assess health protection behaviors over time, while developing standard measures and advancing health protection goals agency-wide.
US Code: 42 USC 41 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  74 FR 14129 03/30/2009
74 FR 53261 10/16/2009
Yes
2
IC Title Form No. Form Name
Field Test Screening Instrument
Field Test Survey Instrument (Web and Telephone)
  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 21,182 0 0 21,182 0 0
Annual Time Burden (Hours) 1,222 0 0 1,222 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a request for a new data collection.
$496,000
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
Uncollected
Maryam Daneshvar 4046394604
  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.
11/03/2009