Message Testing for Tobacco Communication Activities

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
National Tobacco Education Campaign Rough Cut Testing of Television Advertisements	Form and Instruction	New	Available
National Tobacco Education Campaign: Creative Concept Testing	Form and Instruction	New	Available
Parents' Perceptions of Public Service Announcement Concepts on Electronic Nicotine Delivery Systems	Form	New	Available
Rough Cut Testing for the 2016 Tips Campaign	Form	New	Available
Att 4b Example Main Questionnaire (2).doc	Supplementary Document	Uploaded 2014-12-17	Available
Att 4a. Example Screener.doc	Supplementary Document	Uploaded 2014-12-17	Available
Att 4. Example screener and questionnaire.pdf	Supplementary Document	Uploaded 2014-12-17	Available
684 Human Subjects Determination - RFTOP 2011-E-001.pdf	Supplementary Document	Uploaded 2014-12-16	Available
0920-0910 Att 5 Non-disclosure agreement.docx	Supplementary Document	Uploaded 2014-12-16	Available
Att 3. Overview of Data Collection Methods v3.0 06192014.docx	Supplementary Document	Uploaded 2014-12-16	Available
Att 2b. Summary of Public Comments.doc	Supplementary Document	Uploaded 2014-12-16	Repair queued
Att 2a. Federal Register Notice.pdf	Supplementary Document	Uploaded 2014-12-16	Available
Att 1. Public Health Service Act.doc	Supplementary Document	Uploaded 2014-12-16	Available
0920-0910 SS Part A (2) docx Final.docx	Supporting Statement A	Uploaded 2014-12-16	Available
0920-0910_SS_Part B v6 10 31 2014.docx	Supporting Statement B	Uploaded 2014-12-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
228614	National Tobacco Education Campaign Rough Cut Testing of Television Advertisements	Form and Instruction	New
226720	National Tobacco Education Campaign: Creative Concept Testing	Form and Instruction	New
222433	Message Platform Testing for Regular Cigarettes and Dual Use	Other-Screenshots	New
219063	Parents' Perceptions of Public Service Announcement Concepts on Electronic Nicotine Delivery Systems	Form	New
216586	Rough Cut Testing for the 2016 Tips Campaign	Form	New

ICR Details

OMB Control No: 0920-0910	ICR Reference No: 201412-0920-008
Status: Historical Active	Previous ICR Reference No: 201312-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 20995
Title: Message Testing for Tobacco Communication Activities
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/02/2015
	Date Received in OIRA: 12/19/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2018	36 Months From Approved	03/31/2015
Responses	132,648	0	73,694
Time Burden (Hours)	32,994	0	14,438
Cost Burden (Dollars)	0	0	0

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Abstract: This is a three-year renewal request to the 0920-0910 MTTCA clearance to encompass the proposed activities. We added additional capacity to account for unanticipated future activities. We are requesting a 20% increase in the estimated annualized number of responses and a 52% increase in burden hours starting on the current expiration date of January 31, 2015. The new estimated annualized number of responses is 44,216 and the estimated annualized burden hours are 10,998. CDC will continue to use the MTTCA clearance to develop and test messages and materials for current and future phases of the ACA-funded media campaign, as well as OSH's ongoing programmatic initiatives including, but not limited to, the Media Campaign Resource Center, reports from the Office of the Surgeon General, and other communication efforts and materials. The MTTCA generic clearance may also be used to facilitate the development of tobacco-related health communications of interest for CDC collaborative efforts with other federal partners including, but not limited to, the Food and Drug Administration, the Substance Abuse and Mental Health Services Administration, the National Institutes of Health, and the National Cancer Institute. The MTTCA clearance is sufficient to test tobacco related messages developed by CDC. .

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Authorizing Statute(s): PL: Pub.L. 111 - 31 387 Name of Law: Family Smoking Prevention and Tobacco Control Act
   US Code: 42 USC 301 Name of Law: Public Health Service Act
   PL: Pub.L. 111 - 148 399-V Name of Law: Patient Protection and Affordable Care Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 46829	08/11/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 74724	12/16/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
National Tobacco Education Campaign Rough Cut Testing of Television Advertisements	NA, NA, NA	Online Questionnaire Recruitment Screener ,   Online Questionnaire ,   Online Questionnaire Recruitment Screener / Questionnaire - Screenshots
National Tobacco Education Campaign: Creative Concept Testing	NA, NA, NA, NA, NA, NA, NA	Recruitment Screener for Online Questionnaire ,   Online Questionnaire ,   Focus Group Screener ,   Pre-Focus Group Questionnaire and Informed Consent ,   Focus Group Moderator Guide - Exclusive Smokers ,   Focus Group Moderator Guide - Dual User ,   Participant Feedback Questionnaire
Message Platform Testing for Regular Cigarettes and Dual Use
Rough Cut Testing for the 2016 Tips Campaign	none, none	Screener ,   Survey Screenshots
Parents' Perceptions of Public Service Announcement Concepts on Electronic Nicotine Delivery Systems	none, none	Screener ,   Moderator's Guide

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	132,648	73,694	0	58,954	0	0
Annual Time Burden (Hours)	32,994	14,438	0	18,556	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Due to error in previous submission burden totals were increased to account for 3 years of approval under this Generic clearance as opposed to the annualized number. Additionally, We added additional capacity to account for unanticipated future activities. We are requesting a 20% increase in the estimated annualized number of responses and a 52% increase in burden hours.

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Annual Cost to Federal Government: $33,909

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/19/2014

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