OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Use of Smartphones to Collect Information about Health Behaviors: Feasibility Study

ICR 201304-0920-013 · OMB 0920-0972 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Second Text Message Follow-up for Non-Smartphone Users Form New Available
First Text Message Survey Follow-up for Non-Smartphone Users Form New Available
Second Web Survey Follow-up for Smartphone Users Form New Repair queued
First Web Survey Follow-up for Smartphone Users Form New Available
CATI Recruitment Form New Available
CATI Screener Form New Available
Pre-test CATI Screener/CATI Recruitment Form New Available
Supporting Statement_B_4 08 2013.docx Supporting Statement B Uploaded 2013-04-17 Available
Appendix B2. Comments in Response to the Federal Register Notice.doc Supplementary Document Uploaded 2013-04-17 Available
Appendix B1. 60-day FRN 2 27 2012.pdf Supplementary Document Uploaded 2013-04-17 Available
Appendix A. Authorizing Legislation.doc Supplementary Document Uploaded 2013-04-17 Available
Appendix G2. Invitation for First Text Message Survey Follow-up for non-Smartphone Users.docx Supplementary Document Uploaded 2013-04-17 Available
Appendix E2. Invitation for First Web Survey Follow-up for Smartphone Users.docx Supplementary Document Uploaded 2013-04-17 Available
Appendix C2. CATI Informed Consent Statement.doc Supplementary Document Uploaded 2013-04-17 Available
Supporting Statement_A_03192013.docx Supporting Statement A Uploaded 2013-04-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
206650 Second Text Message Follow-up for Non-Smartphone Users Form New
206649 First Text Message Survey Follow-up for Non-Smartphone Users Form New
206648 Second Web Survey Follow-up for Smartphone Users Form New
206647 First Web Survey Follow-up for Smartphone Users Form New
206646 CATI Recruitment Form New
206645 CATI Screener Form New
206644 Pre-test CATI Screener/CATI Recruitment Form New
ICR Details
0920-0972 201304-0920-013
Historical Active
HHS/CDC 19284
Use of Smartphones to Collect Information about Health Behaviors: Feasibility Study
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/10/2013
Retrieve Notice of Action (NOA) 04/23/2013
  Inventory as of this Action Requested Previously Approved
06/30/2014 12 Months From Approved
5,265 0 0
306 0 0
0 0 0
CDC is conducting a feasibility study to evaluate the utility of smartphones for collecting information related to tobacco use and other health behaviors from adults in the U.S.
US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  77 FR 11545 02/27/2012
78 FR 22551 04/16/2013
Yes
  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 5,265 0 0 5,265 0 0
Annual Time Burden (Hours) 306 0 0 306 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection request.
$117,154
Yes Part B of Supporting Statement
No
No
No
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.
04/23/2013