Information Collection Request

Evaluation of the Spanish-Language Campaign "Good Morning Arthritis, Today You Will Not Defeat Us"

ICR 200712-0920-004 · OMB 0920-0766 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Supp Stmt Part B 103107.doc Supporting Statement B Uploaded 2007-11-15 Available
Appendix G. Nondisclosure Agreement.pdf Supplementary Document Uploaded 2007-11-15 Available
Appendix C. Public Comments.doc Supplementary Document Uploaded 2007-11-15 Available
Appendix B2.60-day FRN April 2007.pdf Supplementary Document Uploaded 2007-11-15 Available
Appendix F. Print Ads.pdf Supplementary Document Uploaded 2007-11-15 Available
Appendix A. Authorizing Legislation.doc Supplementary Document Uploaded 2007-11-15 Available
Supp Stmt Part A 11 15 07.doc Supporting Statement A Uploaded 2007-11-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
183075 6-Month Follow-up Survey Other-Telephone Script New
183074 Screener for 6-Month Follow-Up Survey Other-Telephone Script New
183073 Primary Pre and Post Campaign Survey Other-Telephone Script New
183072 Screener for Primary Pre and Post Campaign Survey Other-Telephone Script New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2009 12 Months From Approved
65,400 0 0
2,730 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Screener for Primary Pre and Post Campaign Survey
Primary Pre and Post Campaign Survey
Screener for 6-Month Follow-Up Survey
6-Month Follow-up Survey

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 65,400 0 0 65,400 0 0
Annual Time Burden (Hours) 2,730 0 0 2,730 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No