Formative Research on Issues Related to the Use of Mass Media in African-American Women, Phase II

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Part B supptg stat Formative Research on Issues Related to the Use of Mass Media in African-American Women, Phase II	Form and Instruction	New	Available
0920-06AU Mass Media 04 16 07 Revised(2) (2).doc	Supplementary Document	Uploaded 2007-05-14	Available
Public Comment 02.16.06.pdf	Supplementary Document	Uploaded 2006-12-04	Available
Supporting Statement part A .doc	Supporting Statement A	Uploaded 2006-12-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46726	Formative Research on Issues Related to the Use of Mass Media in African-American Women, Phase II		New
46725	Formative Research on Issues Related to the Use of Mass Media in African-American Women, Phase II		New
46724	Formative Research on Issues Related to the Use of Mass Media in African-American Women, Phase II		New
46723	Formative Research on Issues Related to the Use of Mass Media in African-American Women, Phase II	Form and Instruction	New

ICR Details

OMB Control No: 0920-0738	ICR Reference No: 200701-0920-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Formative Research on Issues Related to the Use of Mass Media in African-American Women, Phase II
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/16/2007
	Date Received in OIRA: 01/12/2007
Terms of Clearance: Approved consistent with changes outlined in CDC memo submitted to OMB and included in the public docket.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2007	6 Months From Approved
Responses	334	0	0
Time Burden (Hours)	175	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The proposed study is to (1) test audience response to concepts that arose in Phase I to breast cancer and screening and (2) test audience response to radio health messages about breast cancer and screening. Respondents will be ages 40-64 years, residents of Georgia, and eligible to for participation in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). Information will be used to inform developments of media campaigns designed to increase awareness of NBCCEDP services and programs and breast cancer screening in this population.

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Authorizing Statute(s): PL: Pub.L. 241 - 1 301 Name of Law: Research and Investigations
   PL: Pub.L. 300 - 1 42 Name of Law: Preventative Health Measures
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 8586	02/16/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 70394	12/04/2006
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Formative Research on Issues Related to the Use of Mass Media in African-American Women, Phase II	Part B supptg statement with all attachmts	Recruitment Screener
Formative Research on Issues Related to the Use of Mass Media in African-American Women, Phase II
Formative Research on Issues Related to the Use of Mass Media in African-American Women, Phase II
Formative Research on Issues Related to the Use of Mass Media in African-American Women, Phase II

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ICR Summary of Burden

table that charts list 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	334	0	0	334	0	0
Annual Time Burden (Hours)	175	0	0	175	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The Reduction in burden was due to the response to concepts that arose in the Phase I. Whether the ideas of concepts developed on the basis of phase 1 formative research findings are clear and understandable to the target audiences; are personally relevant to the target audience; have sensitive or controversial format; and confirm that selected settings and activities are appropriate.

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Annual Cost to Federal Government: $190,000

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: 12/19/2006

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