Evaluation of the Parents Speak Up National Campaign: National Media Tracking Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0990 Fall 2009 and Spring/Fall 2010 Media Tracking Surveys(retained for Follow-up)	Form	New	Available
Form 0990 Fall 2009 Media Tracking Survey(unretained for follow-up	Form	New	Available
Parent web site questionnaire changes 8-05-09.doc	Supplementary Document	Uploaded 2009-09-08	Available
PSUNC Web site Survey 8 5 09.doc	Supplementary Document	Uploaded 2009-09-08	Available
0990-PSUNC-Tracking Survey.doc	Supporting Statement B	Uploaded 2009-04-07	Available
0990-PSUNC-TrackingSurvey-RTI IRB Approval Notice 02-24-09.pdf	Supplementary Document	Uploaded 2009-04-07	Repair queued
0990-PSUNC-TrackingSurvey-Knowledge Networks Privacy and Confidentiality Procedures.doc	Supplementary Document	Uploaded 2009-04-07	Available
0990-PSUNC-TrackingSurvey-Assurances of Confidentiality and Study Consent.doc	Supplementary Document	Uploaded 2009-04-07	Available
0990-PSUNC-TrackingSurvey-Knowledge Networks Panel Recruitment Methodology.doc	Supplementary Document	Uploaded 2009-04-07	Available
0990-PSUNC-TrackingSurvey-RTI IRB Approval Notice 02-24-09.pdf	Supplementary Document	Uploaded 2009-04-07	Available
0990-PSUNC-TrackingSurvey-Knowledge Networks Privacy and Confidentiality Procedures.doc	Supplementary Document	Uploaded 2009-04-07	Available
0990-PSUNC-TrackingSurvey-Assurances of Confidentiality and Study Consent.doc	Supplementary Document	Uploaded 2009-04-07	Available
0990-PSUNC-TrackingSurvey-Knowledge Networks Panel Recruitment Methodology.doc	Supplementary Document	Uploaded 2009-04-07	Available
PSUNC Web site Survey_OMB Package_8 10 09 SSA.doc	Supporting Statement A	Uploaded 2009-09-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
188802	Fall 2009 and Spring/Fall 2010 Media Tracking Surveys(retained for Follow-up)	Form	New
188801	Fall 2009 Media Tracking Survey(unretained for follow-up	Form	New

ICR Details

OMB Control No: 0990-0345	ICR Reference No: 200904-0990-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Evaluation of the Parents Speak Up National Campaign: National Media Tracking Surveys
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: 09/09/2009
	Date Received in OIRA: 04/14/2009
Terms of Clearance: Approved as revised.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2012	36 Months From Approved
Responses	3,000	0	0
Time Burden (Hours)	1,200	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The U.S. Department of Health and Human Services (USDHHS) launched PSUNC in June 2007. This national public education campaign is designed to encourage parents of pre-teens and teens to talk to their children early and often about waiting to have sex.

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Authorizing Statute(s): PL: Pub.L. 110 - 161 a Name of Law: DHHS Annual Appropriations Bill Act
   PL: Pub.L. 108 - 447 326 Name of Law: Consolidated Appropriation Bill Act
   PL: Pub.L. 110 - 329 a Name of Law: Consolidated Security, Disaster Assistance and Continuing Appropriations Act
   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:
	74 FR 297	01/05/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 15495	04/06/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Fall 2009 Media Tracking Survey(unretained for follow-up	0990	Debriefing
Fall 2009 and Spring/Fall 2010 Media Tracking Surveys(retained for Follow-up)	0990	Debriefing

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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	3,000	0	0	3,000	0	0
Annual Time Burden (Hours)	1,200	0	0	1,200	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 collection

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Annual Cost to Federal Government: $629,387

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 04/14/2009

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