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Test of Effectiveness of Screening Recruitment Messages among African American Women in North Carolina

IC 200111 under ICR 200906-0920-015 · OMB 0920-0800.

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Form and Instruction
Form and Instruction
IC Document
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Information Collection (IC) Details

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Test of Effectiveness of Screening Recruitment Messages among African American Women in North Carolina
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Att1a - Prediscussion Info Sheet AA Att A1a - PreDIS_AAW_10 19 2011.doc No No Paper Only
Form none Att1b - Post-discussion Info Sheet AA Att A1b - PostDIS_AAW 10 19 2011.doc No No Paper Only
Form none AttA2 - Prediscussion Info Sheet Latina Att A2 - PreDIS_LATINAS_10 19 2011.doc No No Paper Only
Form none AttE1 - Recruitment Screener AA Att E1 - Recruitment Screener-AAW.doc No No Paper Only
Form none AttE2 - Recruitment Screener Latina Att E2 - Recruitment Screener_LATINAS.doc No No Paper Only
Form and Instruction none AttJ1 - Moderator Guide AA Att J1 - Moderator Guide_AAW_10 25 2011.docx No No Paper Only
Form and Instruction none AttJ2 - Moderator Guide Latina Att J2 - Moderator Guide_LATINAS_10 19 2011.docx No No Paper Only

Health Consumer Health and Safety

 

581 0
   
Individuals or Households
 
   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 581 0 0 0 0 0
Annual IC Time Burden (Hours) 315 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
AttB - Communication Materials Att B - Communication Materials.pdf 11/09/2011
AttC1 - Radio Health Messages Att C1 - Birthday Party.wav 11/09/2011
AttC2 - Radio Health Messages Att C2 - MAYA NEW_1-15-09 (in mp3 format).mp3 11/09/2011
AttC3 - Radio Health Messages Att C3 - Oh Harold (in mp3 format).mp3 11/09/2011
AttD1 - Recruitment Flyer AA Att D1 - Recruitment Flyer_AAW.pdf 11/09/2011
AttD2 - Recruitment Flyer Latina Att D2 - Recruitment Flyer_LATINAS.pdf 11/09/2011
AttF - Observer Nondisclosure Att F - Observer Confidentiality_10 26 2011.docx 11/09/2011
AttG - Nondisclosure with Local Sites Att G - Confidentiality Agreement with LSRs.doc 11/09/2011
AttH1 - Informed Consent AA Att H1 - Informed Consent_AAW_11 03 2011.doc 11/09/2011
AttH2 - Informed Consent Latina Att H2 - Informed Consent_LATINAS_11 03 2011.doc 11/09/2011
AttK - Moderator Version Prediscussion Sheet Att K - Moderator PDIS.docx 11/09/2011
AttI - IRB Approval Att I - IRB approval.doc 11/09/2011
AttL - Sample Topline Summary Att L - Sample Topline Summary.pdf 11/09/2011
Supporting Statement A NC Project OMB Part A_11 03 2011.docx 11/09/2011
Supporting Statement B NC Project OMB Part B_10 19 2011.docx 11/09/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.