Evaluation of the Consumer Education Campaign "Make the Call-Don't Miss a Beat"

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0990-PART B Make the call don't miss a beat 2 14 12.DOC	Supporting Statement B	Uploaded 2012-04-10	Available
0990-Appendix A AHA surey article Twelve-Year Follow-up Cardio Risk.pdf	Supplementary Document	Uploaded 2012-04-10	Available
0990-Makethecall_Appendix D Question testing summary 2 14 12.docx	Supplementary Document	Uploaded 2012-02-28	Available
0990-PART A Make the Call Don't Miss a Beat 2 14 12.DOCX	Supporting Statement A	Uploaded 2012-04-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
201889	Main Instrument- General Population, Adult Women, 25+	Other-survey	New
201888	General Population, Adult Women, 25 +	Other-survey	New

ICR Details

OMB Control No: 0990-0393	ICR Reference No: 201204-0990-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Evaluation of the Consumer Education Campaign "Make the Call-Don't Miss a Beat"
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/10/2012
	Date Received in OIRA: 04/10/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2015	36 Months From Approved
Responses	5,500	0	0
Time Burden (Hours)	223	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this study is to conduct evaluative research on the "Make the Call. Don't Miss a Beat" campaign. This is a national Public Service Announcement (PSA) campaign that aims to educate, engage and empower women and their families to learn the seven most common symptoms of a heart attack and to call 911 as soon as those symptoms arise. The evaluation will assess the likely effectiveness of consumer communication, particularly with women over 50.

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Authorizing Statute(s): PL: Pub.L. 42 - 241 301 Name of Law: Public Health Services Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 76165	12/06/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 13128	03/05/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
General Population, Adult Women, 25 +
Main Instrument- General Population, Adult Women, 25+

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ICR Summary of Burden

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	5,500	0	0	5,500	0	0
Annual Time Burden (Hours)	223	0	0	223	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New collection

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Annual Cost to Federal Government: $118,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/10/2012

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