Information Collection Request

CDC and ATSDR Health Message Testing System

ICR 200906-0920-017 · OMB 0920-0572 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
REVISED Health Message Testing System - Attachment 7 - Core Questions2.doc Supplementary Document Uploaded 2009-06-18 Available
REVISED Health Message Testing System - Attachment 6 - Introductory Questions2.doc Supplementary Document Uploaded 2009-06-18 Available
REVISED Health Message Testing System - Attachment 4 - Demographic Questions2.doc Supplementary Document Uploaded 2009-06-18 Repair queued
Change Request for OMB 0920-0572 Jusitification[1].2.doc Justification for No Material/Nonsubstantive Change Uploaded 2009-06-18 Available
0920-0572 REVISED_Health_Message_Testing_System_-_Attachment_4_-_Demographic_Questions1 (4).doc Supplementary Document Uploaded 2009-04-23 Available
0920-0572 Justification for Change Request.doc Justification for No Material/Nonsubstantive Change Uploaded 2009-04-23 Repair queued
Health Message Testing System - Attachment 9 - Follow-Up Questions.doc Supplementary Document Uploaded 2008-06-25 Available
Health Message Testing System - Attachment 8 - Activity-Task Questions.doc Supplementary Document Uploaded 2008-06-25 Available
Health Message Testing System - Attachment 11 - IRB Ruling.doc Supplementary Document Uploaded 2008-06-10 Available
Health Message Testing System - Attachment 7 - Core Questions.doc Supplementary Document Uploaded 2008-06-25 Available
Health Message Testing System - Attachment 5 - Market Research Experience Questions.doc Supplementary Document Uploaded 2008-06-25 Available
Health Message Testing System - Attachment 6 - Introductory Questions.doc Supplementary Document Uploaded 2008-06-25 Repair queued
Health Message Testing System - Attachment 4 - Demographic Questions.doc Supplementary Document Uploaded 2008-06-25 Available
Health Message Testing Statement - Attachment 3 - Health Message Testing System Expedited Review Form.doc Supplementary Document Uploaded 2008-06-10 Available
Health Message Testing Statement - Attachment 2 - FRN.pdf Supplementary Document Uploaded 2008-06-10 Available
Health Message Testing Statement - Attachment 1 - Authorizing Legislation.doc Supplementary Document Uploaded 2008-06-10 Available
REVISED Supporting Statement Part A 101508.doc Supporting Statement A Uploaded 2008-10-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
187037 Questionnaire Bank Other-Interview Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2011 11/30/2011 11/30/2011
6,000 0 6,000
3,000 0 3,000
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Questionnaire Bank

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 6,000 6,000 0 0 0 0
Annual Time Burden (Hours) 3,000 3,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No