Information Collection

ADDM Network: Communication Materials Testing and Development

IC 202838 under ICR 201112-0920-014 · OMB 0920-0919.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0919 can be found here:

Documents and Forms

Document Name Document Type
2012 ADDM Focus Groups moderators guide.docx Other-Moderator's Guide
213436_ADDM fact sheet_508_2012.pdf 213436_ADDM fact sheet_508_2012 IC Document
ADDM-2012-Community-Report.pdf ADDM-2012-Community-Report IC Document
GenIC Clearance Submission_ADDM Network Focus Groups-v2.docx GenIC Clearance Submission_ADDM Network Focus Groups-v2 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ADDM Network: Communication Materials Testing and Development	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Moderator's Guide			2012 ADDM Focus Groups moderators guide.docx		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	30	0	0	0	0	0
Annual IC Time Burden (Hours)	23	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
213436_ADDM fact sheet_508_2012	213436_ADDM fact sheet_508_2012.pdf	06/22/2012
ADDM-2012-Community-Report	ADDM-2012-Community-Report.pdf	06/22/2012
GenIC Clearance Submission_ADDM Network Focus Groups-v2	GenIC Clearance Submission_ADDM Network Focus Groups-v2.docx	06/22/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.