SFW-Study_Gen-Sub-Study-Form_01172014

GENERIC SUB-STUDY SUBMISSION – 0925-0046

DATE OF REQUEST: January 17, 2014

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

TITLE OF SUB-STUDY: Smokefree Women Customer Satisfaction Study

GENERIC CLEARANCE UNDER OMB #0925-0046-04 EXP. DATE: 5/31/2016

TOTAL ANNUAL BURDEN APPROVED: 6,600 hours

BURDEN APPROVED TO DATE: 102 hours

BURDEN FOR THIS REQUEST: 262 hours

ABSTRACT:

The Office of the Assistant Secretary for Health (OASH) at the Department of Health and Human Services (DHHS) has requested that the National Cancer Institute’s (NCI’s) Tobacco Control Research Branch (TCRB) continue to provide smoking cessation resources to targeted populations, such as women, as part of a national comprehensive tobacco control effort. HHS allocated additional funds to support TCRB’s robust smoking cessation program (Smokefree) this fiscal year with the charge to perform evaluation tasks aimed at increasing audience usage, satisfaction, and sustained quit attempts.

TCRB developed the Smokefree program – a program that includes a variety of web- and mobile-based resources to help people initiate and sustain quit attempts. One component of TCRB’s Smokefree program includes the Smokefree Women (SFW) website (women.smokefree.gov). This current survey is to assess which website the stakeholder is most satisfied with as well as the relevancy of the website content for the intended stakeholder population. To conduct this formative research, a sample will be randomized to view 1 of 4 different websites. The websites include the current website (women.smokefree.gov), smoking cessation (SC) content only, SC plus weight management content, and SC plus healthier lifestyle content.

IS RACE AND ETHNICITY DATA COLLECTED? X YES _____NO_______N/A	IS PERSONALLY IDENTIFIABLE INFORMATION (PII) BEING COLLECTED? X YES _____NO_______N/A
OBLIGATION TO RESPOND: X VOLUNTARY ______ REQUIRED TO OBTAIN OR RETAIN BENEFITS ______ MANDATORY	TYPE OF COLLECTION/RESEARCH? X CUSTOMER SATISFACTION _____ USABILITY TESTING _____FOCUS GROUPS _____PRETESTING _____FORMATIVE RESEARCH _____QUESTIONNAIRE DEVELOPMENT _____APPLICATION _____PROGRAM MONITORING _____ OTHER: _________________________
HOW WILL THIS SURVEY BE OFFERED? X WEB SITE _____ TELEPHONE INTERVIEW _____ MAIL RESPONSE _____ IN PERSON INTERVIEW _____ OTHER: _________________________
CONTACT INFORMATION: NAME: Heather Patrick TELEPHONE NUMBER: 240.276.6795 EMAIL ADDRESS: [email protected]