CDC and ATSDR Health Message Testing System

OMB Control No: 0920-0572	ICR Reference No: 201806-0920-001
Status: Active	Previous ICR Reference No: 201502-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0572
Title: CDC and ATSDR Health Message Testing System
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/13/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/11/2018
Terms of Clearance: 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
Expiration Date	08/31/2021	36 Months From Approved
Responses	55,575	0	0
Time Burden (Hours)	7,410	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: CDC must communicate about hazards, outbreaks and other emergencies that present an urgent health threat to the public. Untested messages can waste communication resources and opportunities because the messages can be perceived as unclear or irrelevant. OADC-CDC requests a reinstatement without change for the generic clearance for an expedited review of items to be used in health message testing to ensure the public will understand health messages and take recommended action.

---

Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 21776	05/10/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 32124	07/11/2018
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 27

IC Title Form No. Form Name Communication Emphasizing Consequences, Protective Actions and Target Populations in an Infectious Disease Outbreak none Message Testing Instrument Assessment for the Get Ahead of Sepsis Consumer Campaign 0920-0572, 0920-0572 GAOS Consumer Survey Pre-test HMTS ,   GAOS Consumer Survey Post-test HMTS Assessment for the Be Antibiotics Aware Campaign - Health Care Providers none, none BAA Pretest - Heath care providers ,   BAA Posttest - Health care providers Brand Concept Testing for Diabetes Self-Management Education and Support (DSMES) Services Marketing Support 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572 PWD Screener Online Survey ,   PWD Online Survey ,   HCP Screener In Depth Interview ,   HCP In Depth Interview Guide ,   HCP Screener Online Survey ,   HCP Online Survey ,   PWD Focus Group Moderators Guide ,   PWD Screener for Focus Groups A Tailored Communications Campaign to Reduce Pregnancy-related Complications and Death n/a, n/a Recruitment Script and Screener ,   Focus Group Moderator's Guide Message Testing: Radiation Emergencies and Cancer Risk 0920-0572 Message Testing Survey CDC Enhanced Message Development and Testing to Prevent Excessive Alcohol Consumption Study – Creative Concept Testing Focus Groups/Copy Testing Survey 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572 CDC Alcohol - Creative Concept Testing Rating Worksheet ,   CDC Alcohol Creative Concept Testing Ranking Worksheet - Concerned ,   Creative Concept Testing Ranking Worksheet Uncon&Noncom ,   Creative Concept Testing Rating - concerned ,   Screener Developing Effective Messages about Excessive Alcohol Consumption: Enhanced Message Development and Testing - Revised Screener 0920-0572 Focus Group Screener - Revised Be Antibiotic Aware Campaign none, none, none, none, none Screener for adults ,   Screener for Nursing Home Caregivers ,   Screener for SS women - English ,   Screener for SS Women - Spanish ,   Screener for Urgent Care adults CDC Older Adult Injury Prevention Creative Campaign Survey 0920-0572 Older Adult Injury Prevention Creative Campaign Survey National Firefighter Registry Parents' Knowledge, Skills, Attitudes & Beliefs regarding Children's Bullying: A Research to Practice Approach 0920-0572, 0920-0572, 0920-0572 Focus Group Screener ,   Focus Group Guide English ,   Focus Group Guide Spanish Developing Effective Messages about Excessive Alcohol Consumption: Enhanced Message Development and Testing 0920-0572, 0920-0572, 0920-0572 Focus Group Screener ,   Focus Group Discussion Guide ,   Audience Segmentation Survey Testing Health Communication Messages to Promote Hand Hygiene Behavior Among U.S. Adults 0920-0572, 0920-0572 Interview Guide ,   Screening Form Message and material testing for the Be Antibiotics Aware (BAA) campaign for healthcare providers (HCPs) n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a Screening Form for Dentists ,   Screening Form for Hospitalists ,   Screening Form for Nurses in Nursing Homes ,   Screening Form for Community Pharmacists ,   Screening Form for Advanced Practice Providers and Physicians in Nursing Homes ,   Interviewer Guide for Dentists ,   Interviewer Guide for Hospitalists ,   Interviewer Guide for Nurses in Nursing Homes ,   Interviewer Guide for Community Pharmacists ,   Interviewer Guide for Advanced Practice Providers and Physicians in Nursing Homes Testing Health Communication Messages to Promote Hepatitis C Testing among U.S. Adults n/a, n/a Screener and Focus Group Invitation ,   Focus Group Moderators Guide Assessment of Get Ahead of Sepsis Camplaign - Health Care Providers none, none GAOS Pretest - Health care providers ,   GAOS - Posttest - Health care providers Evaluation of Emergency Use Fact Sheets Regarding Medical Countermeasures – Comprehension 0920-0572, 0920-0572, 0920-0572, 0920-0572 HMTS Evaluation Screener ,   HMTS Evaluation Consent Form ,   HMTS Worksheet Activity ,   HMTS Evaluation IDI Guide Message and Material Testing for the Get Ahead of Sepsis (GAOS) Campaign for Consumer Audiences 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572 Cancer Patients and Caregivers Mod Guide ,   Men Aged 65 and Older Mod Guide ,   Sepsis Survivors and Caregivers Mod Guide ,   Women Who Care for Aging Parent Mod Guide ,   Women Who Care for Child Mod Guide ,   Women Who Primarily Speak Spanish Mod Guide En ,   Cancer Patients Screener ,   Caregivers to Cancer Screener ,   Caregivers to Sepsis Survivors Screener ,   Men Aged 65 and Older Screener ,   Sepsis Survivors Screener ,   Women who Care for Aging Parent Screener ,   Women Who Care for Child Screener ,   Women Who Speak Spanish Screener (Eng) Assessment for the Be Antibiotics Aware (BAA) Consumer Campaign 0920-0572, 0920-0572 BAACS Survey FINAL PRETEST ,   BAA Consumer Survey_FINAL POSTTEST Crisis Next Door Campaign Assessment 0920-0572, 0920-0572 Crisis Next Door Screener ,   Crisis Next Door Questionnaire Message Testing for Diabetes Self-Management Education and Support (DSMES) Branding: Cart Sort Activity 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572 Screener Diabetes Educators ,   Screener Health Care Providers ,   Screener People with DM ,   Diabetes Educators Survey ,   Health Care Providers Survey ,   Person with DM had DSMES Survey ,   Person with DM not had DSMES Survey Health Communications Testing for Latent Tuberculosis Infections Campaign 0920-20PT, 0920-20PT, 0920-20PT, 0920-20PT, 0920-20PT, 0920-20PT, 0920-20PT, 0920-20PT, 0920-20PT Recruitment Screener_Consumer ,   Recruitment Screener_Nurse-NP-PA ,   Moderator Guide-IDI_Physician ,   Moderator Guide-FG_Nurse-NP-PA ,   Moderator Guide-FG_Consumer ,   Consent Form_Consumer ,   Recruitment Screener_Physician ,   Consent Form_Nurse-NP-PA ,   Consent Form_Physician Communication Support for the National Center for Emerging and Zoonotic Infectious Diseases; Anthrax Materials Testing 0920-20MU, 0920-20MU, 0920-20MU, 0920-20MU, 0920-0572, 0920-0572, 0920-0572, 0920-0572, 0920-0572 Screening/Eligibility Form ,   Guide for Adults 65+ ,   Guide for Parents ,   Guide for ESL Adults ,   Anthrax Antibiotics & Children Fact Sheet ,   Anthrax Get Vaccinated Fact Sheet ,   Anthrax Pregnancy Fact Sheet ,   Anthrax General Fact Sheet ,   Anthrax POD Fact Sheet Sexual Health Study for Gay and Bisexual Men 0920-0572, 0920-0572 Screener - Understanding Sexual Health Messaging among Men who have Sex with Men ,   Focus Group Moderator Guide - Sexual Health Study for Gay and Bisexual Men NIOSH Manual of Analytical Methods Survey n/a NMAM Customer Satisfaction Survey Get Ahead of Sepsis for Healthcare Providers none, none, none Screener - EMS Personnel ,   Screener - LTC Med tech/sitter ,   Screener - LTC Nurses

---

ICR Summary of Burden

	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	55,575	0	0	0	0	55,575
Annual Time Burden (Hours)	7,410	0	0	0	0	7,410
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $1,550,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Shari Steinberg 404 639-4942 [email protected]

---

Common Form ICR:  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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 07/11/2018

---