Planes,Trains and Auto-Mobility: Increase Walking in the Atl Hartsfield-Jackson Arprt And Testing of brand concepts, msgs and material CDC National Diabetes Prevntion Program

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 205934

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
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Planes,Trains and Auto-Mobility: Increase Walking in the Atl Hartsfield-Jackson Arprt And Testing of brand concepts, msgs and material CDC National Diabetes Prevntion Program
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0572 Planes, Trains and Autop Appendix B3 Response Form Appendix B3 Response Form.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Planes, Trains and Auto Appendix B Instructions for Interview Appendix B Instructions for Interviewers 1.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Plane, Trains and Auto Appendix B 1 Interview 1 Appendix B1 Interview 1.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Planes, Trains and Autop Appendix B2 Interview Cards 1 Appendix B2 Interview 1 Cards.pptx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Planes, Trains Auto Appendix B4 Participant Inform Appendix B4 Participant Information Sheet.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Plane, Trains and Auto Appendix 5 Question 1 Rationale Appendix B5 Question 1 Rationale_v2.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Plane, Train Auto Appendix C Handheld Screenshots Appendix C Handheld Screenshots.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Testing of brand Appendix A1-Screener-Consumers 010 Appendix A1-Screener-Consumers 010713.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Testing of brand concepts Appendix A2-Screener-HCP Appendix A2-Screener-HCP 010713.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Testing of brand concepts Appendix B1-Consent form Appendix B1-Consent form-Consumer FGs 122812.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Testing of brand concepts Appendix B2-Consent form- Appendix B2-Consent form-HCP Triads 122812.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Testing of Brand Appendix C1-Moderators Guide- Consumers FG Appendix C1-Moderators Guide- Consumers FG 020613.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Testing of brands Appendix C2-Moderators Guide- HCP triads Appendix C2-Moderators Guide- HCP triads 020613.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0572 Testing of brand Appendix D2-NDPP Branding Message Testing Supplement Appendix D2-NDPP Branding Message Testing Supplement 010713.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

344 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 344 0 0 0 0 0
Annual IC Time Burden (Hours) 261 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Planes, Trains, Auto HMTSExpeditedReviewForm Interview 1 HMTSExpeditedReviewForm Interview 1.pdf 02/19/2013
NPPP Brand and Message Testing Expedited Review Form HMTSExpeditedReviewForm- NPPP branding and message testing 011113.pdf 02/21/2013
Testing of brands list of Appendices List of Appendices.docx 02/21/2013
Planes, Trains and auto Appendix A Appendix A.docx 02/21/2013
Planes, Trains Auto Appendix A1 IRB Approval Appendix A1 IRB Approval.docx 02/21/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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