#1_Gen IC Form_Self-Affirm

#1_Gen IC Form_Self-Affirm.doc

A Generic Submission for Theory Development and Validation (NCI)

#1_Gen IC Form_Self-Affirm

OMB: 0925-0645

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GENERIC SUB-STUDY SUBMISSION – 0925-0645-01


DATE OF REQUEST: March 20, 2012


SUB AGENCY (I/C): NIH/NCI/DCCPS


TITLE OF SUB-STUDY: Self-affirmation and affect


GENERIC CLEARANCE UNDER OMB #0925-0645-01 EXP. DATE: 12/31/2014

TOTAL BURDEN APPROVED: 6,000 hours

BURDEN APPROVED TO DATE: 0 hours

BURDEN FOR THIS REQUEST: 400 hours


ABSTRACT:


The National Cancer Institute (NCI) proposes to conduct a study to refine and validate a theory regarding the role of the self and affective experiences in responding to health communications about alcohol use. Using several survey conditions, we will a survey that will help to refine a preliminary theory concerning the role of self-affirmation – affirming one’s self value – and recall of affective experiences in responding to health communications. We will examine whether our theoretical framework best predicts responses; this will be the first survey to attempt to refine and validate this theoretical framework.


This data will be collected through the TESS project, an opportunity for researchers to collect free data to examine psychological theories and hypotheses. The proposal was peer-reviewed by scientific content experts, and the positive reviews led the study to be accepted. Thus, data will be collected at cost to TESS, and the study will be fielded through an internet survey company.


IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?

_____YES _X____NO_______N/A


IS PERSONALLY IDENTIFIABLE INFORMATION (PII) BEING COLLECTED?

_____YES _X____NO_______N/A

OBLIGATION TO RESPOND:

__X__ VOLUNTARY

______ REQUIRED TO OBTAIN OR RETAIN BENEFITS

______ MANDATORY


TYPE OF COLLECTION/RESEARCH?

_____ CUSTOMER SATISFACTION

_____ USABILITY TESTING

_____FOCUS GROUPS

_____PRETESTING

__X__FORMATIVE RESEARCH

_____QUESTIONNAIRE DEVELOPMENT

_____ OTHER: _________________________

HOW WILL THIS SURVEY BE OFFERED?

__X__ WEB SITE

_____ TELEPHONE INTERVIEW

_____ MAIL RESPONSE

_____ IN PERSON INTERVIEW

_____ OTHER: _________________________


CONTACT INFORMATION:

NAME: Rebecca Ferrer

TELEPHONE NUMBER: (301)-594-0427

EMAIL ADDRESS: [email protected]


File Typeapplication/msword
File TitleSUBMISSION OF INFORMATION COLLECTION
AuthorNina Goodman, MHS
Last Modified ByVivian Horovitch-Kelley
File Modified2012-03-23
File Created2012-03-23

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