Prevention Communication Formative Research

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
10415	Prevention Communication Formative Research	Migrated

ICR Details

OMB Control No: 0990-0281	ICR Reference No: 200503-0990-002
Status: Historical Active	Previous ICR Reference No: 200410-0990-002
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Prevention Communication Formative Research
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/16/2005
	Date Received in OIRA: 03/04/2005
Terms of Clearance: Approved per clarification provided in HHS memo submitted to OMB 06/14/05 consistent with the following terms of clearance: 1. Items approved under this generic clearance will be used for qualitative research only and are not intended to generate quantitative or statistically generalizable data. 2. HHS shall submit memos for individual studies including statement of need, intended use of information, description of respondents, information collection procedures, incentive justification, justification for proposed collection methodology, estimated burden for the requested collection and total number of hours previously approved under the generic during this period of clearance, participant screener and survey instrument. 3. HHS shall compile an annual report on this generic clearance tracking the number and purpose of collections approved, the number of burden hours used in total and per package, and the mechanisms for each collection e.g. web panel, focus group, etc. 4. OMB will respond with clearance or questions within 15 working days. 5. Approval must be obtained from OMB prior to the fielding of any items under this generic clearance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2008	06/30/2008	06/30/2005
Responses	1,742	0	290
Time Burden (Hours)	4,200	0	712
Cost Burden (Dollars)	0	0	0

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Abstract: This information will be used as formative research to develop messages and materials in support of the development of disease prevention and health promotion information, including the 2005 Dietary Guidelines. It is necessary to obtain consumer input to better understand the information needs, attitudes and beliefs of the audience in order to tailor messages, as well as to assist with clarity, understandability and acceptance of prototyped messages and materials.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Prevention Communication Formative Research

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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	1,742	290	0	1,452	0	0
Annual Time Burden (Hours)	4,200	712	0	3,488	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 03/04/2005

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