Health Marketing

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Science to Practice: Developing and Testing a Marketing Strategy for Preventing Alcohol-related Problems in College Communities	Form	New	Available
Formative Research with Consumers, Couples, and Innovators about Reproductive Life Planning and Preconception Health	Form	New	Available
KAB for Antibiotic Use, Focus Groups about Down Syndrome, and Focus Groups about CigaretteSmoking and Birth Defects	Form	New	Available
African American STD Disparities Health Communication and Emergency Risk Communication Network Needs Assessment Projects	Form	New	Available
Focus Groups about Alcohol Consumption during Pregnancy	Form	New	Available
National Center for Health Statistics Customer Satisfaction Survey of Website Users	Form	New	Source copy available
CDC Public Health Law News Collection of Assessment Information	Form	New	Available
IRBExemption.pdf	Supplementary Document	Uploaded 2008-07-21	Available
60dayFRN.pdf	Supplementary Document	Uploaded 2008-07-21	Available
AuthLegislation.pdf	Supplementary Document	Uploaded 2008-07-21	Available
OMB Generic Clearance Survey Questions.doc	Supplementary Document	Uploaded 2008-07-21	Available
HealthMarketingPartA.doc	Supporting Statement A	Uploaded 2008-07-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
193927	Science to Practice: Developing and Testing a Marketing Strategy for Preventing Alcohol-related Problems in College Communities	Form	New
193776	Formative Research with Consumers, Couples, and Innovators about Reproductive Life Planning and Preconception Health	Form	New
192429	KAB for Antibiotic Use, Focus Groups about Down Syndrome, and Focus Groups about CigaretteSmoking and Birth Defects	Form	New
192323	African American STD Disparities Health Communication and Emergency Risk Communication Network Needs Assessment Projects	Form	New
191180	Focus Groups about Alcohol Consumption during Pregnancy	Form	New
190595	National Adult Tobacco Survey Questionnaire	Other-Telephone Survey	New
190102	National Center for Health Statistics Customer Satisfaction Survey of Website Users	Form	New
188546	CDC Public Health Law News Collection of Assessment Information	Form	New

ICR Details

OMB Control No: 0920-0798	ICR Reference No: 200807-0920-007
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Health Marketing
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: 01/08/2009
	Date Received in OIRA: 07/30/2008
Terms of Clearance: Approved consistent with the following terms of clearance: OMB approves the requested generic for two years after which time CDC may resubmit and OMB will review the collection to assess the appropriateness of continuing the approval; approved for purposes of survey/informative materials development and customer satisfaction surveys only; all requests under this clearance must be individually submitted to and approved by OMB prior to fielding; OMB will generally review such requests within ten business days; OMB reserves the right to deny approval of requests under this generic for any reason.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2011	36 Months From Approved
Responses	86,000	0	0
Time Burden (Hours)	38,700	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC's National Center for Health Marketing is requesting a 3-year approval for the generic concept of health marketing to provide feedback on the development, implementation and satisfaction regarding public health services, products, communication campaigns and information.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

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:
	73 FR 27833	05/14/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 43241	07/24/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Formative Research with Consumers, Couples, and Innovators about Reproductive Life Planning and Preconception Health	none, none, none, none, none, none, none, none, none	Innovator - Interview guide ,   Women consumers - Consent form ,   Women consumers - Focus group guide ,   Women consumers - Demographic questionnaire ,   Innovator - Consent form ,   Couples - Interview guide ,   Couples -screener ,   Couples - Consent form ,   Women consumers - Screener
Science to Practice: Developing and Testing a Marketing Strategy for Preventing Alcohol-related Problems in College Communities	none	Focus group question schedule
CDC Public Health Law News Collection of Assessment Information	none	Public Health Law News questionnaire
Focus Groups about Alcohol Consumption during Pregnancy	none, none, none, none	Focus Group Guide ,   Participant Questionnaire ,   Screening Instrument ,   Consent Form
National Adult Tobacco Survey Questionnaire
African American STD Disparities Health Communication and Emergency Risk Communication Network Needs Assessment Projects	none, none, none, none, none, none, none	Emergency Risk Communication Network Needs Assessment ,   AA STD Disparities -Phase I Interview Guide for Triads ,   AA STD Disparities - Phase I Interview Guide for Individuals ,   AA STD Disparities - Phase II Interview Guide for Individuals ,   AA STD Disparities - Demographic and Behavioral Questionnaire ,   AA STD DIsparities - Participant Domain Assessment ,   AA STD Disparities - Triad and Interview Screener
National Center for Health Statistics Customer Satisfaction Survey of Website Users	none	CDC and NCHS User Survey
KAB for Antibiotic Use, Focus Groups about Down Syndrome, and Focus Groups about CigaretteSmoking and Birth Defects	none, none, none, none, none, none, none, none, none, none, none	Focus Groups about Women's Perception of Down Syndrome - focus group guide ,   Focus Group about Women's Perception of Down Syndrome - screener ,   Focus Group about Women's Perception of Down Syndrome - questionnaire ,   Focus Group about Women's Perception of Down Syndrome - consent ,   KAB for Antibiotic Use - prescreener ,   KAB for Antibiotic Use - screener ,   KAB for Antibiotic Use - discussion guides ,   Focus Group about Cigarette Smoking during Pregnancy - focus group guide ,   Focus Group about Cigarette Smoking during Pregnancy - participant questionnaire ,   Focus Group about Cigarette Smoking during Pregnancy - screener ,   Focus Group about Cigarette Smoking during Pregnancy - consent

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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	86,000	0	0	86,000	0	0
Annual Time Burden (Hours)	38,700	0	0	38,700	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: This is a new generic ICR.

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Annual Cost to Federal Government: $5,000

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: 07/30/2008

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