Information Collection

Consumer perceptions as a foundation for CTP positioning initiative

IC 201564 under ICR 201404-0910-001 · OMB 0910-0497.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CTP Positioning DOC 03_Adolescent Screener.doc	Other-Adolescent Screener
CTP Positioning DOC 04_Adult Screener.doc	Other-Adult Screener
CTP Positioning DOC 05_Adolescent Assent Form.doc	Other-Adolescent Assent Form
CTP Positioning DOC 06_Adult Informed Consent.doc	Other-Adult Informed Consent
CTP Positioning DOC 01_Generic Clearance Memorandum.doc OMB Justification Memo	IC Document
CTP Positioning DOC 02_Focus Group Composition.doc CTP Positioning DOC 02_Focus Group Composition	IC Document
CTP Positioning DOC 07_Adolescent Moderators Guide.doc CTP Positioning DOC 07_Adolescent Moderators Guide	IC Document
CTP Positioning DOC 08_Adult Moderators Guide.doc CTP Positioning DOC 08_Adult Moderators Guide	IC Document
CTP Positioning DOC 09_CTP Description.doc CTP Positioning DOC 09_CTP Description	IC Document
CTP Positioning DOC 10_Territory Stimuli.pptx CTP Positioning DOC 10_Territory Stimuli	IC Document
CTP Positioning DOC 11_Interbrand Nondisclosure Agreement.pdf CTP Positioning DOC 11_Interbrand Nondisclosure Agreement	IC Document

IC Title:

Consumer perceptions as a foundation for CTP positioning initiative

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Adolescent Screener	CTP Positioning DOC 03_Adolescent Screener.doc	Yes	No	Paper Only
Other-Adult Screener	CTP Positioning DOC 04_Adult Screener.doc	Yes	No	Paper Only
Other-Adolescent Assent Form	CTP Positioning DOC 05_Adolescent Assent Form.doc	Yes	No	Paper Only
Other-Adult Informed Consent	CTP Positioning DOC 06_Adult Informed Consent.doc	Yes	No	Paper Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 64

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	64	64
Annual IC Time Burden (Hours)	128	128
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Justification Memo	CTP Positioning DOC 01_Generic Clearance Memorandum.doc	03/14/2012
CTP Positioning DOC 02_Focus Group Composition	CTP Positioning DOC 02_Focus Group Composition.doc	03/14/2012
CTP Positioning DOC 07_Adolescent Moderators Guide	CTP Positioning DOC 07_Adolescent Moderators Guide.doc	03/14/2012
CTP Positioning DOC 08_Adult Moderators Guide	CTP Positioning DOC 08_Adult Moderators Guide.doc	03/14/2012
CTP Positioning DOC 09_CTP Description	CTP Positioning DOC 09_CTP Description.doc	03/14/2012
CTP Positioning DOC 10_Territory Stimuli	CTP Positioning DOC 10_Territory Stimuli.pptx	03/14/2012
CTP Positioning DOC 11_Interbrand Nondisclosure Agreement	CTP Positioning DOC 11_Interbrand Nondisclosure Agreement.pdf	03/14/2012

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