Prevention Communication Formative Research

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0990-0281 Consumer Focus Groups For Messages and Guidance on the 2010 Dietary Guidelines for Americans, Submission #3	Form	New	Available
Form 0990-0281 Healthy People 2020 Consortium Member Assessment to Support the US DHHS	Form	New	Available
0990-0281_3 5 09revisions (2).doc	Supporting Statement B	Uploaded 2009-03-16	Available
0990-0281_4 14 09revisions.doc	Supporting Statement A	Uploaded 2009-04-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
201948	Childhood Obesity Prevention Communication Campaign Research	Other-survey	New
200316	ODPHP Partnership Engagement Survey	Other-cover letter	New
192815	Focus Group Participant -Generic #4	Other-Focus Group Participant	New
192247	Consumer Focus Groups For Messages and Guidance on the 2010 Dietary Guidelines for Americans, Submission #3	Form	New
191671	Healthy People 2020 Consortium Member Assessment to Support the US DHHS	Form	New
188910	Prevention Communication Formative Research, #11 #12	Other-screener #12	New
186118	Web-based message Testing- Confidentiality agreement		New
186117	Web-based message testing- Web test		New
186116	Telephone-based message testing-Confidentiality agreement		New
186115	Telephone -based message testing- Telephone Test		New
186114	Telephone-based message testing- Screener		New
186113	In person Message testing-Confidentiality agreement		New
186112	In person message testing-Message test		New
186111	In person message testing- screener		New
186110	Web-based concept and prototype -Confidentiality Agreement		New
186109	Web-based concept and prototype testing-Web-test		New
186108	Usability and other testing of prototype materials-Confidentiality agreement		New
186107	Usability and other testing of prototype materials -Usability test		New
186106	Usability an othe testing of prototype materials Print and web-screener		New
186105	In Person focus group 15- Confidentiality		New
186104	In person focus groups- 15- Focus group		New
186103	In person Focus Groups 15 - Screener		New
186102	In Person focus 20 -Confidentiality agreement		New
186101	In person Focus Groups 20- Focus Group		New
186100	In person focus groups 20 screener		New
186099	In focus groups 35 Confidentiality		New
186098	In person Focus group-35- Focus group		New
186097	In person focus group-20 Screener		New
186096	Public Health Professionals- Confidentiality Agreement		New
186095	Public Health Professional-Interview		New
186094	Public Health Professionals-Screeners		New
186093	Health Intermedaries--Confidentiality agreement		New
186092	Health Intermediaries- Interview		New
186091	Health Intermediaries- Screener		New
186090	Limited Literacy Consumers-Confidentiality agreement		New
186089	Limited Literacy consumers- Interview		New
186088	Limited Literacy consumers-Screener		New

ICR Details

OMB Control No: 0990-0281	ICR Reference No: 200808-0990-001
Status: Historical Active	Previous ICR Reference No: 200706-0990-004
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Prevention Communication Formative Research
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/15/2009
	Date Received in OIRA: 08/12/2008
Terms of Clearance: Approved as revised by HHS and consistent with the following terms of clearance: 1. Items approved under this generic clearance will be used for qualitative research only and are not intended to generate quantitative or statistically generalizable data. 2. HHS shall submit memos for individual studies including statement of need, intended use of information, description of respondents, information collection procedures, incentive justification, justification for proposed collection methodology, estimated burden for the requested collection and total number of hours previously approved under the generic during this period of clearance, participant screener and survey instrument. 3. HHS shall compile an annual report on this generic clearance tracking the number and purpose of collections approved, the number of burden hours used in total and per package, and the mechanisms for each collection e.g. web panel, focus group, etc. 4. OMB will respond with clearance or questions within 15 working days. 5. Approval must be obtained from OMB prior to the fielding of any items under this generic clearance.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved	04/30/2009
Responses	1,742	0	1,742
Time Burden (Hours)	4,200	0	4,200
Cost Burden (Dollars)	0	0	0

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Abstract: This information will be used as formative research to develop messages and materials in support of the development of disease prevention and health promotion information, including the 2005 Dietary Guidelines. It is necessary to obtain consumer input to better understand the information needs, attitudes and beliefs of the audience in order to tailor messages, as well as to assist with clarity, understandability and acceptance of prototyped messages and materials.

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Authorizing Statute(s): PL: Pub.L. 94 - 317 201 Name of Law: National Consumer Health Information and Health Promotion Act of 1976
  

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 28469	05/16/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 46297	08/08/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 37

table that charts list of burden

IC Title	Form No.	Form Name
Prevention Communication Formative Research, #11 #12
In person focus group-20 Screener
In person Focus Groups 15 - Screener
In person focus groups- 15- Focus group
Web-based concept and prototype -Confidentiality Agreement
Telephone -based message testing- Telephone Test
Limited Literacy consumers-Screener
Public Health Professional-Interview
Limited Literacy Consumers-Confidentiality agreement
Health Intermedaries--Confidentiality agreement
Public Health Professionals-Screeners
In person message testing-Message test
ODPHP Partnership Engagement Survey
Healthy People 2020 Consortium Member Assessment to Support the US DHHS	0990-0281, 0990-0281, 0990-0281, 0990-0281	Moderator's Guide ,   Healthy People 2020 Consortium Member Assessment ,   Focus Group and Interview recruitment Screener ,   Interviewer's Guide
Focus Group Participant -Generic #4
Childhood Obesity Prevention Communication Campaign Research
Public Health Professionals- Confidentiality Agreement
In focus groups 35 Confidentiality
In person Focus Groups 20- Focus Group
Web-based concept and prototype testing-Web-test
Telephone-based message testing-Confidentiality agreement
Web-based message testing- Web test
Web-based message Testing- Confidentiality agreement
Limited Literacy consumers- Interview
In person Focus group-35- Focus group
In person focus groups 20 screener
In Person focus 20 -Confidentiality agreement
In Person focus group 15- Confidentiality
Usability and other testing of prototype materials -Usability test
Health Intermediaries- Interview
Health Intermediaries- Screener
In person message testing- screener
In person Message testing-Confidentiality agreement
Telephone-based message testing- Screener
Consumer Focus Groups For Messages and Guidance on the 2010 Dietary Guidelines for Americans, Submission #3	0990-0281, 0990-0281	Focus Group Moderator's Guide ,   Focus Group Participant Screener
Usability an othe testing of prototype materials Print and web-screener
Usability and other testing of prototype materials-Confidentiality agreement

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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	1,742	1,742	0	0	0	0
Annual Time Burden (Hours)	4,200	4,200	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $175,000

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)? No

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: 08/12/2008

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