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HTSMC Radio Ad Stimuli Viewing and Booklet Reading
Examining the Efficacy of the HIV Testing Social Marketing Campaign for African American Women
OMB: 0920-0752
IC ID: 180287
OMB.report
HHS/CDC
OMB 0920-0752
ICR 200705-0920-008
IC 180287
( )
Documents and Forms
Document Name
Document Type
Attachment 9 .Experiment Stimuli 4-24-2007 w o trkg.doc
Other-Mock-ups of Experiment Stimuli
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
HTSMC Radio Ad Stimuli Viewing and Booklet Reading
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Mock-ups of Experiment Stimuli for Treatment Group
Attachment 9 .Experiment Stimuli 4-24-2007 w o trkg.doc
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
815
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
815
0
815
0
0
0
Annual IC Time Burden (Hours)
367
0
367
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.