OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Development of CDC's Act Against AIDS Social Marketing Campaigns Targeting Consumers

ICR 201701-0920-001 · OMB 0920-1169 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Att 4b Consent Form-IDI.docx Supplementary Document Uploaded 2017-03-13 Available
Att 7 Messages.docx Supplementary Document Uploaded 2017-01-03 Available
Att 6 Intercept Receipt Form.docx Supplementary Document Uploaded 2017-01-03 Available
Att 5 Privacy Agreement.docx Supplementary Document Uploaded 2017-01-03 Available
Att 4a Consent Form-FG.docx Supplementary Document Uploaded 2017-01-03 Repair queued
Att 2_60dyFRN.pdf Supplementary Document Uploaded 2017-01-03 Available
Att 2 60-Day FRN_revised.docx Supplementary Document Uploaded 2017-01-03 Repair queued
SS B.docx Supporting Statement B Uploaded 2017-01-03 Available
SSA_ 2-27.docx Supporting Statement A Uploaded 2017-03-13 Available
IC Document Collections
IC IDCollectionTypeStatusForm
225015 Att 3t: Intercept Interview Guide Other-WORD New
225014 Att 3s: HIV Prevention with Positives Brief Survey Instrument Other-WORD New
225013 Att 3r: HIV Communication and Awareness Brief Survey Instrument Other-WORD New
225011 Att 3q: HIV Prevention Brief Survey Instrument Other-WORD New
225010 Att 3p: HIV Testing Brief Survey Instrument Other-WORD New
225009 Att 3o: Consumer Materials Testing Focus Group Guide Other-ord New
225008 Att 3n: Consumer Concept Testing Focus Group Guide Other-WORD New
225007 Att 3m: Consumer Message Testing Focus Group Guide Other-WORD New
225005 Att 3l: Exploratory HIV Prevention eith Positives Focus Group Guide Other-WORD New
225004 Att 3k: Exploratory HIV Communication and Awareness Focus Group Guide Other-WORD New
225003 Att 3j: Exploratory HIV Testing Focus Group Guide Other-WORD New
225002 Att 3i: Exploratory HIV Testing Focus Group Guide Other-WORD New
225001 Att 3h: Consumer Materials Testing In-Depth Interview Guide Other-WORD New
224999 Att 3g: Consumer Concept Testing In-Depth Interview Guide Other-WORD New
224997 Att 3f: Consumer Message Testing In-Depth Interview Guide Other-WORD New
224996 Att 3e: Exploratory HIV Prevention with Positives In-Depth Interview Guide Other-WORD New
224995 Att 3d: Exploratory HIV Communication and Awareness In-Depth Interview Guide Other-WORD New
224994 Att 3c: Exploratory HIV Prevention In-Dept Interview Guide Other-WORD New
224991 Att 3b: Exploratory HIV Testing In-dept Interview Guide Other-WORD New
224989 Att 3a_Screener Instrument for In-depth Interviews and Focus Group Other-WORD New
ICR Details
0920-1169 201701-0920-001
Historical Active
HHS/CDC 16ATI
Development of CDC's Act Against AIDS Social Marketing Campaigns Targeting Consumers
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 03/15/2017
Retrieve Notice of Action (NOA) 01/09/2017
Approved consistent with the understanding that this is a qualitative study to assess health message testing materials and concepts. Results will not be generalizable to broader populations.
  Inventory as of this Action Requested Previously Approved
03/31/2020 36 Months From Approved
5,038 0 0
2,063 0 0
0 0 0
The goal of this study is to qualitatively test messages and materials that will be used in social marketing campaigns, under the Act Against AIDS initiative, that target consumers, in order to increase HIV testing rates, increase HIV awareness and knowledge, challenge, commonly held misperceptions about HIV, and promote HIV prevention and risk reduction. Methods to be used to collect data include focus groups, intercept interviews, and in-depths interviews.
US Code: 42 USC 301-241(a) Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  81 FR 43204 07/01/2016
81 FR 91935 12/19/2016
No
  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 5,038 0 0 5,038 0 0
Annual Time Burden (Hours) 2,063 0 0 2,063 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.
$519,298
No
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.
01/09/2017