Information Collection Request

ASPA COVID-19 Public Education Campaign Evaluation Surveys

ICR 202305-0990-005 · OMB 0990-0475 · Historical Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0990-0475 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form Attachment A COVID-19 Attitudes and Beliefs Survey (CABS)	Form and Instruction	Unchanged	Repair queued
Form Attachment D Monthly Outcome Survey (MOS)	Form and Instruction	Unchanged	Repair queued
Justification for nonsubstantive change-MOS-Wave22.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-10-13	Repair queued
SS-A COVID-19 _0990-0475 Public Education Campaign Evaluation Surveys_06-03-22 (002).docx	Supporting Statement A	Uploaded 2022-06-03	Repair queued
Justification for nonsub change MOS-Wave 11 11-18-21.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-11-18	Repair queued
Justification for nonsubstantive change-Wave2.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-05-21	Repair queued
ASPA CABS_Overview of Wave 2 Revisions_05102021.docx	Supplementary Document	Uploaded 2021-05-21	Available
ASPA COVID-19 Public Education Campaign Evaluation Surveys_OMB Emergency Justification_010421.docx	Supplementary Document	Uploaded 2021-01-08	Available
ASPA COVID-19 Public Education Campaign Evaluation Surveys_SupportingStatement Part B_1-11-22.docx	Supporting Statement B	Uploaded 2022-01-11	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
245275	COVID-19 Attitudes and Beliefs Survey (CABS)	Form and Instruction	Unchanged
245272	Monthly Outcome Survey (MOS)	Form and Instruction	Unchanged

ICR Details

Status	Historical Active
Agency/Subagency	HHS/HHSDM
OMB Control No	0990-0475
Type of Information Collection	Reinstatement with change of a previously approved collection
Previous ICR Reference No	202210-0990-001
Date Submitted to OIRA	2023-05-04
Requested Expiration Date	2023-05-08