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.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0800 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document 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

IC Title:

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

Agency IC Tracking Number:

17YI

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-WORD	Attachment B2 - Discussion Guide for AA or Black Families_1.5.17.docx	No	Fillable Printable
Other-WORD	Attachment B1- Discussion Guide for GP Families_1.5.17.docx	No	Fillable Printable
Other-WORD	Attachment B3- Discussion Guide for AJ Families_1.5.17.docx	No	Fillable Printable
Other-Screening	Attachment C1- Screening Instrument for GP Young Women_1.5.17.docx	No	Fillable Printable
Other-WORD	Attachment C3- Screening Instrument for AA or Black Young Women_1.5.17.docx	No	Fillable Printable
Other-WORD	Attachment C4 - Screening Instrument for AA or Black Families_1.5.17.docx	No	Fillable Printable
Other-WORD	Attachment C5- Screening Instrument for AJ Young Women_1.5.17.docx	No	Fillable Printable
Other-WORD	Attachment C6 - Screening Instrument for AJ Families.docx	No	Fillable Printable
Other-WORD	Attachment C2 - Screening Instrument for GP Families_1.5.17.docx	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 480

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	96	96
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Authorizing Legislation	Attachment A Legislative Authority_EARLY Act Reauthorization.pdf	03/27/2017
Respondent Information Sheet	Attachment D- Respondent Information Sheet.docx	03/27/2017
Att E. Material for Testing	Attachment E- Materials for Testing_v2 12.6.pptx	03/27/2017
Supporting Statement A	SS A _17YI_0327.17.doc	03/27/2017
Supporting Statement A	SS B 1.5.17.doc	03/27/2017

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