OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Focus Group Testing to Effectively Plan and Tailor "Bring Your Brave" Communication Campaign Messages

IC 226204 under ICR 201408-0920-009 · OMB 0920-0800.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment B1- Discussion Guide for GP Families_1.5.17.docx Other-WORD
Attachment B2 - Discussion Guide for AA or Black Families_1.5.17.docx Other-WORD
Attachment B3- Discussion Guide for AJ Families_1.5.17.docx Other-WORD
Attachment C1- Screening Instrument for GP Young Women_1.5.17.docx Other-Screening
Attachment C2 - Screening Instrument for GP Families_1.5.17.docx Other-WORD
Attachment C3- Screening Instrument for AA or Black Young Women_1.5.17.docx Other-WORD
Attachment C4 - Screening Instrument for AA or Black Families_1.5.17.docx Other-WORD
Attachment C5- Screening Instrument for AJ Young Women_1.5.17.docx Other-WORD
Attachment C6 - Screening Instrument for AJ Families.docx Other-WORD
Attachment A Legislative Authority_EARLY Act Reauthorization.pdf
Authorizing Legislation		IC Document
Attachment D- Respondent Information Sheet.docx
Respondent Information Sheet		IC Document
Attachment E- Materials for Testing_v2 12.6.pptx
Att E. Material for Testing		IC Document
SS A _17YI_0327.17.doc
Supporting Statement A		IC Document
SS B 1.5.17.doc
Supporting Statement A		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Other-WORD No   Fillable Printable
Other-WORD No   Fillable Printable
Other-WORD No   Fillable Printable
Other-Screening No   Fillable Printable
Other-WORD No   Fillable Printable
Other-WORD No   Fillable Printable
Other-WORD No   Fillable Printable
Other-WORD No   Fillable Printable
Other-WORD No   Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved 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 480 0 480 0 0 0
Annual IC Time Burden (Hours) 96 0 96 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Authorizing Legislation 03/27/2017
Respondent Information Sheet 03/27/2017
Att E. Material for Testing 03/27/2017
Supporting Statement A 03/27/2017
Supporting Statement A 03/27/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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