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Focus Groups and Intercept Interviews for Message and Materials Pretesting
PRETESTING OF NIAID'S HIV VACCINE RESEARCH EDUCATION INITIATIVE COMMUNICATION MESSAGES
OMB: 0925-0585
IC ID: 189989
OMB.report
HHS/NIH
OMB 0925-0585
ICR 200901-0925-005
IC 189989
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0585 can be found here:
2011-02-22 - Revision of a currently approved collection
2010-05-11 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Focus Groups and Intercept Interviews for Message and Materials Pretesting
Form
1 Focus Groups Moderator Guide
Appendix 1 Focus Group Moderators Guide.DOC
Form
2 Intercept Interview
Appendix 2 Intercept Interview Instrument.DOC
Form and Instruction
3 Focus Group Screener
Appendix 4 Focus Group Screener.DOC
Form and Instruction
Mini Supporting Statement 0925-0585-04.DOCX
Mini Supporting Statement 0925-0585-04
IC Document
OMB Cover Letter 0925-0585-04.DOCX
OMB Cover Letter 0925-0585-04
IC Document
Generic Clearance Form 0925-0585-04.DOCX
Generic Clearance Form 0925-0585-04
IC Document
Appendix 3 AED Guidelines for Data Security.doc
Appendix 3 AED Guidelines for Data Security
IC Document
Appendix 5 Notification of Privacy Act.doc
Appendix 5 Notification of Privacy Act
IC Document
Appendix 6 Focus Group Informed Consent.doc
Appendix 6 Focus Group Informed Consent
IC Document
Appendix 7 Intercept Interview Informed Consent.doc
Appendix 7 Intercept Interview Informed Consent
IC Document
Appendix 8 IRB Exemption Review.doc
Appendix 8 IRB Exemption Review
IC Document
Appendix 2 Intercept Interview Instrument Revised 09-0918.doc
Appendix 2 Intercept Interview Instrument Revised
IC Document
Appendix 4 Focus Group Screener Revised 09-0918.doc
Appendix 4 Focus Group Screener Revised
IC Document
Mini Supporting Statement 0925-0585-04 Revised 09-0918.docx
Mini Supporting Statement 0925-0585-04 Revised
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Focus Groups and Intercept Interviews for Message and Materials Pretesting
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
1
Focus Groups Moderator Guide
Appendix 1 Focus Group Moderators Guide.DOC
Yes
No
Paper Only
Form and Instruction
2
Intercept Interview
Appendix 2 Intercept Interview Instrument.DOC
Yes
Yes
Paper Only
Form and Instruction
3
Focus Group Screener
Appendix 4 Focus Group Screener.DOC
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
377
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
377
0
0
0
0
0
Annual IC Time Burden (Hours)
220
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Mini Supporting Statement 0925-0585-04
Mini Supporting Statement 0925-0585-04.DOCX
07/13/2009
OMB Cover Letter 0925-0585-04
OMB Cover Letter 0925-0585-04.DOCX
07/13/2009
Generic Clearance Form 0925-0585-04
Generic Clearance Form 0925-0585-04.DOCX
07/13/2009
Appendix 3 AED Guidelines for Data Security
Appendix 3 AED Guidelines for Data Security.doc
07/13/2009
Appendix 5 Notification of Privacy Act
Appendix 5 Notification of Privacy Act.doc
07/13/2009
Appendix 6 Focus Group Informed Consent
Appendix 6 Focus Group Informed Consent.doc
07/13/2009
Appendix 7 Intercept Interview Informed Consent
Appendix 7 Intercept Interview Informed Consent.doc
07/13/2009
Appendix 8 IRB Exemption Review
Appendix 8 IRB Exemption Review.doc
07/13/2009
Appendix 2 Intercept Interview Instrument Revised
Appendix 2 Intercept Interview Instrument Revised 09-0918.doc
09/30/2009
Appendix 4 Focus Group Screener Revised
Appendix 4 Focus Group Screener Revised 09-0918.doc
09/30/2009
Mini Supporting Statement 0925-0585-04 Revised
Mini Supporting Statement 0925-0585-04 Revised 09-0918.docx
09/30/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.