Formative Research for the Development of CDC's Act Against AIDS Social Marketing Campaigns Targeting Consumers

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Sup Sta B (12EX).docx	Supporting Statement B	Uploaded 2012-08-21	Repair queued
Att 5 Data Mgmt Ackn.docx	Supplementary Document	Uploaded 2012-08-21	Repair queued
Att 4 60 Day FRN Published.pdf	Supplementary Document	Uploaded 2012-08-21	Repair queued
Att 1 AuthLeg (12EX).doc	Supplementary Document	Uploaded 2012-08-21	Repair queued
Att 3a Consent Form (In-Depth and Focus Group).docx	Supplementary Document	Uploaded 2012-08-21	Repair queued
Att 6 Receipt Form.docx	Supplementary Document	Uploaded 2012-08-21	Available
Att 3c Consent Form (Intercept Interview).docx	Supplementary Document	Uploaded 2012-08-21	Repair queued
Att 3b Consent Form (Msg, Concpt, Matls).docx	Supplementary Document	Uploaded 2012-08-21	Repair queued
Sup Sta A (12EX).docx	Supporting Statement A	Uploaded 2012-08-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203850	Focus Group Interview Guide	Other-WORD	New
203849	Intercept Interview Guide	Other-WORD	New
203848	Paper and Pencil Survey	Other-WORD	New
203847	In-Depth Interview Guide	Other-WORD	New
203846	Screening Instrument	Other-WORD	New

ICR Details

OMB Control No:	ICR Reference No: 201208-0920-006
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Formative Research for the Development of CDC's Act Against AIDS Social Marketing Campaigns Targeting Consumers
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: Improperly submitted	Conclusion Date: 09/24/2012
	Date Received in OIRA: 08/23/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The research conducted under this ICR will be part of CDC's overarching AAA campaign and the research results will be used to develop materials for six specific HIV social marketing campaigns under the umbrella of the larger AAA campaign.

---

Authorizing Statute(s): US Code: 42 USC 241a Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 13608	03/07/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 49797	08/17/2012
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Screening Instrument
In-Depth Interview Guide
Paper and Pencil Survey
Intercept Interview Guide
Focus Group Interview Guide

---

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: This is a request for a new OMB Control Number.

---

Annual Cost to Federal Government: $621,807

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

---

Common Form ICR:  No

---

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: 08/23/2012

---