Assessment of Communication Messages and Materials

National Children's Study Formative Generic Clearance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0590 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Assessment of Communication Messages and Materials Form
1 Focus Group Screener Attachment C - Screening Instrument for Focus Groups.docx Form
2 Focus Group Guide Attachment A - Moderators Guide for Focus Groups.docx Form and Instruction
3 Interview Screener Attachment D - Screening Instrument for Interviews.docx Form
4 Interview Guidelines Attachment B - Semi-structured Interview Protocol.docx Form and Instruction
NCS Mssg Focus Group Protocol_Mini Supporting Statement_3-22-10.docx NCS Mssg Focus Group Protocol_Mini Supporting Statement_3-22-10 IC Document
Attachment E - Informed Consent.docx Attachment E - Informed Consent IC Document
Terms of Clearance_0925-0590 communications.docx Terms of Clearance IC Document

Information Collection (IC) Details

IC Title:	Assessment of Communication Messages and Materials	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Focus Group Screener	Attachment C - Screening Instrument for Focus Groups.docx	Yes	Yes	Paper Only
Form and Instruction	2	Focus Group Guide	Attachment A - Moderators Guide for Focus Groups.docx	Yes	Yes	Paper Only
Form	3	Interview Screener	Attachment D - Screening Instrument for Interviews.docx	Yes	Yes	Paper Only
Form and Instruction	4	Interview Guidelines	Attachment B - Semi-structured Interview Protocol.docx	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 848	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	848	848
Annual IC Time Burden (Hours)	359	359
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NCS Mssg Focus Group Protocol_Mini Supporting Statement_3-22-10	NCS Mssg Focus Group Protocol_Mini Supporting Statement_3-22-10.docx	03/22/2010
Attachment E - Informed Consent	Attachment E - Informed Consent.docx	03/22/2010
Terms of Clearance	Terms of Clearance_0925-0590 communications.docx	05/06/2010

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