Prevention Communication Formative Research

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0990-0281_SS_06_13_12.doc	Supporting Statement A	Uploaded 2012-06-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
202978	Web-based card sorting - Confidentiality Agreement		New
202977	Web-based card sorting - Card Sort		New
202976	Web-based card sorting - Screener		New
202975	In person card sorting - Confidentiality Agreement		New
202974	In person card sorting - Card Sort		New
202973	In person card sorting - Screener		New
202972	Remote usability, prototype and concept testing - Confidentiality Agreement		New
202971	Remote usability, prototype and concept testing - Web test		New
202970	Remote usability, prototype and concept testing - Screener		New
202969	Remote focus groups (public health professionals) - Confidentiality Agreement		New
202968	Remote focus groups (public health professionals) - Focus Group		New
202967	Remote focus groups (public health professionals) - Screener		New
202966	Remote focus groups (health intermediaries) - Confidentiality Agreement		New
202965	Remote focus groups (health intermediaries) - Focus Groups		New
202964	Remote focus groups (health intermediaries) - Screener		New
202962	Remote focus groups (consumers with limited health literacy and/or Spanish speakers) - Confidentiality Agreement		New
202961	Remote focus groups (consumers with limited health literacy and/or Spanish speakers) - Focus Groups		New
202960	Remote focus groups (consumers with limited health literacy and/or Spanish speakers) - Screener		New
202958	Remote, in depth interviews (public health professionals) - Confidentialty Agreement		New
202957	Remote, in depth interviews (public health professionals) - Interview		New
202956	Remote, in depth interviews (public health professionals) - Screener		New
202955	Remote, in depth interviews (health intermediaries) - Confidentiality Agreement		New
202954	Remote, in depth interviews (health intermediaries) - Interview		New
202953	Remote, in depth interviews (health intermediaries) - Screener		New
202952	Remote, in depth interviews (consumers with limited health literacy and/or Spanish speakers) - Confidentiality Agreement		New
202951	Remote, in depth interviews (consumers with limited health literacy and/or Spanish speakers) - Interview		New
202950	Remote, in depth interviews (consumers with limited health literacy and/or Spanish speakers) - Screener		New

ICR Details

OMB Control No: 0990-0281	ICR Reference No: 201206-0990-006
Status: Historical Inactive	Previous ICR Reference No: 200808-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Prevention Communication Formative Research
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 07/09/2012
	Date Received in OIRA: 06/30/2012
Terms of Clearance: OMB returns this collection as "improperly submitted" because it requires a "Supporting Statement, Part B."

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2012	36 Months From Approved	07/31/2012
Responses	1,742	0	1,742
Time Burden (Hours)	4,200	0	4,200
Cost Burden (Dollars)	0	0	0

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Abstract: This information will be used as formative research to develop messages and materials in support of the development of disease prevention and health promotion information, including the 2005 Dietary Guidelines. It is necessary to obtain consumer input to better understand the information needs, attitudes and beliefs of the audience in order to tailor messages, as well as to assist with clarity, understandability and acceptance of prototyped messages and materials.

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Authorizing Statute(s): None

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:
	77 FR 21562	04/10/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 38290	06/27/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 27

table that charts list of burden

IC Title	Form No.	Form Name
Remote focus groups (public health professionals) - Focus Group
Web-based card sorting - Confidentiality Agreement
Remote, in depth interviews (public health professionals) - Confidentialty Agreement
Remote focus groups (health intermediaries) - Focus Groups
Remote focus groups (public health professionals) - Confidentiality Agreement
Web-based card sorting - Screener
Remote, in depth interviews (public health professionals) - Interview
Remote focus groups (consumers with limited health literacy and/or Spanish speakers) - Focus Groups
In person card sorting - Screener
Remote, in depth interviews (consumers with limited health literacy and/or Spanish speakers) - Screener
Remote, in depth interviews (consumers with limited health literacy and/or Spanish speakers) - Interview
Remote focus groups (public health professionals) - Screener
Remote, in depth interviews (health intermediaries) - Confidentiality Agreement
Remote usability, prototype and concept testing - Screener
Remote usability, prototype and concept testing - Web test
In person card sorting - Card Sort
Remote, in depth interviews (health intermediaries) - Screener
Remote, in depth interviews (public health professionals) - Screener
Remote focus groups (consumers with limited health literacy and/or Spanish speakers) - Screener
Remote, in depth interviews (consumers with limited health literacy and/or Spanish speakers) - Confidentiality Agreement
Remote usability, prototype and concept testing - Confidentiality Agreement
In person card sorting - Confidentiality Agreement
Web-based card sorting - Card Sort
Remote, in depth interviews (health intermediaries) - Interview
Remote focus groups (consumers with limited health literacy and/or Spanish speakers) - Confidentiality Agreement
Remote focus groups (health intermediaries) - Screener
Remote focus groups (health intermediaries) - Confidentiality Agreement

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $200,000

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 06/30/2012

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