Evaluation of the Get Yourself Tested (GYT) Campaign

Forms and Documents

Document Name	Status
GYT: Get Yourself Tested Form	New
Part B_comments_rk edits 2-20-13.docx Supporting Statement B	2013-02-26
Attach 7 Sample e-mail reminder.docx Supplementary Document	2012-12-17
Attach 5 KnowledgeNetworksInformation.docx Supplementary Document	2012-12-17
Attach 4 Sample Email Invitation_rk edit.docx Supplementary Document	2012-12-17
Attach 3 Consent Forms.docx Supplementary Document	2013-02-26
Attach 2 60day-FRN Published.pdf Supplementary Document	2012-12-17
Attach 1 Sect 301 PHSA.pdf Supplementary Document	2012-12-17
Attach 8 Screen Shots-Survey.docx Supplementary Document	2012-12-17
Part A_comments-2-20-13.docx Supporting Statement A	2013-02-26

IC Document Collections

IC ID	Document Title	Status
205171	GYT: Get Yourself Tested Form	New

ICR Details

OMB Control No: 0920-0957	ICR Reference No: 201212-0920-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Evaluation of the Get Yourself Tested (GYT) Campaign
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 with change	Conclusion Date: 03/20/2013
	Date Received in OIRA: 12/20/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2016	36 Months From Approved
Responses	4,000	0	0
Time Burden (Hours)	2,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is proposed to evaluate a communication campaign that encourages youth to be tested for sexually transmitted diseases (STDs), including HIV. Encouraging youth to be tested for STD/HIV is a major goal of the Division of STD Prevention, as these diseases often show no symptoms, but cause long-term consequences. Because the topic is stigmatized and sensitive, communication campaigns involving STD/HIV are difficult to create and sustain. The GYT: Get Yourself Tested campaign has been sustained for multiple years, and there are indications that it is successful; however, the campaign needs to be formally evaluated to determine if it is effective in reaching the target population, and if its messages are understood and acted upon by the target audience. We propose to do this using an established market-research panel (Knowledge Networks) as the study population, selecting 4,000 participants ages 25 and under. Participants have already consented to participate in survey research for the market-research panel; this survey will be included as part of their annual participation in the firm's survey research.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service 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:
	77 FR 50694	08/22/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 75167	12/19/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
GYT: Get Yourself Tested	none	GYT: Get Yourself Tested Instrument

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ICR Summary 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	4,000	0	0	4,000	0	0
Annual Time Burden (Hours)	2,000	0	0	2,000	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: This is a new ICR.

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Annual Cost to Federal Government: $254,844

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: 12/20/2012

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