Health Message Testing System

CDC and ATSDR Health Message Testing System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0572 can be found here:

Documents and Forms

Document Name Document Type
Att 4-DemographicQuestions.docx Other-WORD
Att 5-MarketResearchExpQuestions.docx Other-WORD
Att 6-IntroductoryQuestions.docx Other-WORD
Att 7-CoreQuestions.docx Other-WORD
Att 8-ActivityTaskQuestions.docx Other-WORD
Att 9-FollowUpQuestions.docx Other-WORD

Information Collection (IC) Details

IC Title:	Health Message Testing System	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD	Att 4-DemographicQuestions.docx	Yes	Yes	Fillable Printable
Other-WORD	Att 5-MarketResearchExpQuestions.docx	Yes	Yes	Fillable Printable
Other-WORD	Att 6-IntroductoryQuestions.docx	Yes	Yes	Fillable Printable
Other-WORD	Att 7-CoreQuestions.docx	Yes	Yes	Fillable Printable
Other-WORD	Att 8-ActivityTaskQuestions.docx	Yes	Yes	Fillable Printable
Other-WORD	Att 9-FollowUpQuestions.docx	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18,525	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	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	18,525	0	0	0	0	0
Annual IC Time Burden (Hours)	2,470	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.