Underage Alcohol Use Prevention Media Campaign Focus Groups

Pretesting of Substance Abuse Prevention and Treatment and Mental Health Services Communications Messages

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0196 can be found here:

Documents and Forms

Document Name Document Type
Form Attachment 3 - Mal Underage Alcohol Use Prevention Media Campaign Focus Groups Form
Attachment 3 - Mal Attachment 3 - Male Screener Attachment3 Male Recruit-Screener 3-18-10_Final.doc Form
Attachment 2 - Fem Attachment 2 - Female Screener Attachment2 Female Recruit-Screener 3-18-10_Final.doc Form
Attachment6 Use of Telephone Focus Groups 3-15-10_Final.pdf Attachment 6 - Use of Telephone Focus Groups IC Document
Attachment5 Message Concepts for Testing 3-18-10_Final.doc Attachment 5 - Message Concepts IC Document
Attachment4 Focus Group Moderator Guide 3-18-10_Final.doc Attachment 4 - Moderator's Guide IC Document
Attachment1 Focus Group Plan 3-18-10_Final.doc Attachment 1 - Focus Group Plan IC Document
Terms of Clearance 0930-0196_Underage Alcohol Use Prevention Media Campaign Focus Groups.doc Terms of Clearance IC Document

Information Collection (IC) Details

IC Title:	Underage Alcohol Use Prevention Media Campaign Focus Groups	Agency IC Tracking Number:

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
Form	Attachment 3 - Male Screener	Attachment 3 - Male Screener	Attachment3 Male Recruit-Screener 3-18-10_Final.doc		Yes	Yes	Paper Only
Form	Attachment 2 - Female Screener	Attachment 2 - Female Screener	Attachment2 Female Recruit-Screener 3-18-10_Final.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	72	72
Annual IC Time Burden (Hours)	102	102
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 6 - Use of Telephone Focus Groups	Attachment6 Use of Telephone Focus Groups 3-15-10_Final.pdf	03/18/2010
Attachment 5 - Message Concepts	Attachment5 Message Concepts for Testing 3-18-10_Final.doc	03/18/2010
Attachment 4 - Moderator's Guide	Attachment4 Focus Group Moderator Guide 3-18-10_Final.doc	03/18/2010
Attachment 1 - Focus Group Plan	Attachment1 Focus Group Plan 3-18-10_Final.doc	03/18/2010
Terms of Clearance	Terms of Clearance 0930-0196_Underage Alcohol Use Prevention Media Campaign Focus Groups.doc	04/13/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.