Information Collection

HIV Prevention and Testing Messages for Act Against AIDS Social Marketing Campaigns Targeting Gay/Bisexual Men

IC 206209 under ICR 201403-0920-004 · OMB 0920-0920.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0920 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HIV Prevention and Testing Messages for Act Against AIDS Social Marketing Campaigns Targeting Gay/Bisexual Men	Form
Att 2 - Survey Instrument Attachment 2_Web-based Survey Instrument.pdf	Form
Att 3 - Screener Attachment 3_Web-based Survey Screener.pdf	Form
Supporting Statement A_clean.docx Supporting Statement A	IC Document
Supporting Statement B.docx Supporting Statement B	IC Document
Response to Julie Wise Comments_02-11-13.docx Response to OMB	IC Document
Attachment 4_Web-based Survey Consent.pdf Att 4 - Consent	IC Document
Attachment 5_Web-based Survey Reminder Emails.pdf Att 5- Reminder Emails	IC Document
MSM AR Taglines and Messages for Testing R3.pdf Messages	IC Document
MSM Creative Concepts.pdf Creative Concepts	IC Document

IC Title:

HIV Prevention and Testing Messages for Act Against AIDS Social Marketing Campaigns Targeting Gay/Bisexual Men

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Att 2 - Survey Instrument	Attachment 2_Web-based Survey Instrument.pdf		Yes	Yes	Fillable Fileable
Form	none	Att 3 - Screener	Attachment 3_Web-based Survey Screener.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,283

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,283	1,283
Annual IC Time Burden (Hours)	299	299
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A	Supporting Statement A_clean.docx	03/20/2013
Supporting Statement B	Supporting Statement B.docx	03/20/2013
Response to OMB	Response to Julie Wise Comments_02-11-13.docx	03/20/2013
Att 4 - Consent	Attachment 4_Web-based Survey Consent.pdf	03/20/2013
Att 5- Reminder Emails	Attachment 5_Web-based Survey Reminder Emails.pdf	03/20/2013
Messages	MSM AR Taglines and Messages for Testing R3.pdf	03/20/2013
Creative Concepts	MSM Creative Concepts.pdf	03/20/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.