African American Women's Perceptions of a Social Marketing Campaign to Promote HIV Testing

Data Collection Through Web Based Surveys for Evaluating Act Against AIDS Social Marketing Campaign Phases Targeting Consumers

OMB: 0920-0920

IC ID: 207674

Information Collection (IC) Details

View Information Collection (IC)

African American Women's Perceptions of a Social Marketing Campaign to Promote HIV Testing
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Screener Att 3_ Screener.pdf Yes Yes Fillable Fileable
Form none Survey Att 2_Survey_07-03-2013.pdf Yes Yes Fillable Fileable

Health Immunization Management

 

466 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 466 0 0 0 0 466
Annual IC Time Burden (Hours) 109 0 0 0 0 109
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent Att 4_ Consent Form.pdf 07/03/2013
Survey Emails Att 5_Survey Reminder E-Mails.docx 07/03/2013
Campaign Materials Att 6_TCTT Creative_REV 07-03-2013.pdf 07/08/2013
Supporting Statement B SSB.docx 07/03/2013
Supporting Statement A SSA_CLEAN_07-03-2013.docx 07/08/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy