OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Data Collection Through Web Based Surveys for Evaluating Act Against AIDS Social Marketing Campaign Phases Targeting Consumers

ICR 201108-0920-009 · OMB 0920-0920 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Revised 3b Potential Exposure and Reach Sample Items.docx Supplementary Document Uploaded 2012-01-19 Repair queued
Revised 3a Potential Message Effectiveness Sample Items.docx Supplementary Document Uploaded 2012-01-19 Repair queued
Revised Supporting Statement B 01-12-12 - Generic.docx Supporting Statement B Uploaded 2012-01-19 Repair queued
Revised Attachment 6 Sample Screening Interview.docx Supplementary Document Uploaded 2012-01-19 Repair queued
Attachment 5 Sample E-mail Notification.docx Supplementary Document Uploaded 2011-08-22 Repair queued
Attachment 4 Sample Particpant Consent form.docx Supplementary Document Uploaded 2011-08-22 Repair queued
Attachment 3 Sample Survey Item Bank.docx Supplementary Document Uploaded 2011-08-22 Repair queued
Revised Supporting Statement A - Generic 01-12-12.docx Supporting Statement A Uploaded 2012-01-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
ICR Details
0920-0920 201108-0920-009
Historical Active
HHS/CDC
Data Collection Through Web Based Surveys for Evaluating Act Against AIDS Social Marketing Campaign Phases Targeting Consumers
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 02/06/2012
Retrieve Notice of Action (NOA) 08/29/2011
Approved consistent with the following terms of clearance: 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
02/28/2015 36 Months From Approved
72,000 0 0
8,001 0 0
0 0 0
The purpose of this study is to evaluate the effectiveness of the AAA campaign messages on desired outcomes.
US Code: 42 USC 301.241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  75 FR 151 08/06/2010
76 FR 23818 04/28/2011
No
0
  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 72,000 0 0 72,000 0 0
Annual Time Burden (Hours) 8,001 0 0 8,001 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is new generic ICR.
$247,586
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Petunia Gissendaner 4046390164
  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.
08/29/2011