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Concept Testing for the Inside Knowledge: Get the Facts about Gynecologic Cancer Campaign
Focus Group Testing to Effectively Plan and Tailor Cancer Prevention and Control Communication Campaigns
OMB: 0920-0800
IC ID: 190099
OMB.report
HHS/CDC
OMB 0920-0800
ICR 200906-0920-015
IC 190099
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0800 can be found here:
2022-02-11 - Reinstatement with change of a previously approved collection
2018-08-31 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
Concept Testing for the Inside Knowledge: Get the Facts about Gynecologic Cancer Campaign
Form
Moderator Disucssion Guide
Moderators Guide for Gyn Concept Testing 7 06 09.doc
Form
Participant Screener for GYN Concept Testing 7 06 09.doc
Screening Form
IC Document
Participant Consent Form.doc
Consent Document
IC Document
Test Print Ads for Gyn Cancer.pdf
Print ads
IC Document
Test PSA Storyboards for Gyn Cancer.pdf
PSA Storyboards
IC Document
Change Request for Gyn Concept Testing 7 06 09.doc
Justification for Generic IC Request
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Concept Testing for the Inside Knowledge: Get the Facts about Gynecologic Cancer Campaign
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
none
Moderator Disucssion Guide
Moderators Guide for Gyn Concept Testing 7 06 09.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
648
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
648
0
0
0
0
0
Annual IC Time Burden (Hours)
346
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Screening Form
Participant Screener for GYN Concept Testing 7 06 09.doc
07/13/2009
Consent Document
Participant Consent Form.doc
07/13/2009
Print ads
Test Print Ads for Gyn Cancer.pdf
07/13/2009
PSA Storyboards
Test PSA Storyboards for Gyn Cancer.pdf
07/13/2009
Justification for Generic IC Request
Change Request for Gyn Concept Testing 7 06 09.doc
07/13/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.