OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

A Comprehensive Evaluation of a Paid Social Media and Mass Media Gynecologic Cancer Campaign

ICR 201501-0920-012 · OMB 0920-1065 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Att 5_IRB Approval Letter.pdf Supplementary Document Uploaded 2015-01-12 Repair queued
Att 2b. Summary of Public Comments.doc Supplementary Document Uploaded 2015-01-12 Available
Att 2a. 60-day FRN 2 26 2014.pdf Supplementary Document Uploaded 2015-01-12 Available
Att 1b. PHSA.DOC Supplementary Document Uploaded 2015-01-12 Available
Att 1a. Johannas Law.pdf Supplementary Document Uploaded 2015-01-12 Available
IK SS-Part B_10-30_rev 12 31 14.docx Supporting Statement B Uploaded 2015-01-12 Available
IK SS-Part A_10 21_rev 12 31 14.docx Supporting Statement A Uploaded 2015-01-12 Available
IC Document Collections
IC IDCollectionTypeStatusForm
214584 Women's Health Survey Other-WORD New
214583 Screening for the Women's Health Survey Other-WORD New
ICR Details
0920-1065 201501-0920-012
Historical Active
HHS/CDC 14KE
A Comprehensive Evaluation of a Paid Social Media and Mass Media Gynecologic Cancer Campaign
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/20/2015
Retrieve Notice of Action (NOA) 01/22/2015
It should be noted that while the sample recruitment procedures are designed to approximate a nationally representative sample, the limitations associated with online data collection from survey panels require that all results from this information collection be reported with appropriate caution and interpretation. Specifically, although all participants must be invited to participate and cannot volunteer on their own, there may be systematic differences between individuals who choose to join internet surveys and the type of individuals who do not wish to participate in these types of studies over an ongoing timeframe. Therefore, evaluation results must be interpreted with appropriate caution regarding our ability to generalize the findings to the national population of women.
  Inventory as of this Action Requested Previously Approved
05/31/2016 12 Months From Approved
3,030 0 0
838 0 0
0 0 0
CDC plans to conduct self-administered, web-based surveys in 4 cities to evaluate reach and impact of a media campaign called Inside Knowledge: Get the Facts about Gynecologic Cancer. The target audience is women ages 40-65. All four cities are included in a national media campaign. A supplemental media buy will be conducted in two of the four cities.
US Code: 42 USC 247b-17 Name of Law: Gynecologic Cancer Education and Awareness Act (Johanna;s Law)
   US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  79 FR 10810 02/26/2014
80 FR 7 01/12/2015
Yes
2
IC Title Form No. Form Name
Women's Health Survey
Screening for the Women's Health Survey
  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 3,030 0 0 3,030 0 0
Annual Time Burden (Hours) 838 0 0 838 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a NEW collection (Request for a new OMB Control Number)
$874,850
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Thelma Sims 4046394771
  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.
01/22/2015