Outcome Follow-up Survey of CDC's Youth Media Campaign

ICR 200302-0920-005

OMB: 0920-0587

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
7049
Migrated
ICR Details
0920-0587 200302-0920-005
Historical Active
HHS/CDC
Outcome Follow-up Survey of CDC's Youth Media Campaign
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/17/2003
Retrieve Notice of Action (NOA) 02/28/2003
  Inventory as of this Action Requested Previously Approved
11/30/2005 11/30/2005
26,362 0 0
2,571 0 0
0 0 0

This data collection will be the one year and two year follow up to the YMC Outcome Baseline Survey (Data collected April to June 2002.) This data will be used to assess the effects of CDC's Youth Media Campaign on both a national level and in the high dose communities in which concentrated campaign activities have been implemented. This outcome evaluation is designed to assess the extent to which changes in target audience knowledge, attitudes, beliefs, and behaviors related to engagement in healthful, positive activities can be attributed to exposure to the campaign.

None
None


No

1
IC Title Form No. Form Name
Outcome Follow-up Survey of CDC's Youth Media Campaign

  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 26,362 0 0 26,362 0 0
Annual Time Burden (Hours) 2,571 0 0 2,571 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
02/28/2003


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