Communities Putting Prevention to Work (CPPW) National Prevention Media Initiative Focus Group with Parents/Caregivers

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 207551

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Communities Putting Prevention to Work (CPPW) National Prevention Media Initiative Focus Group with Parents/Caregivers
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD 2013.05.30_Attachment 2 - Eligibility Screener.doc No No Paper Only
Other-WORD 2013 05 30_Attachment 3 - Moderators Guide.docx No No Paper Only

Health Immunization Management

 

120 0
   
Individuals or Households
 
   0 %

  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 120 0 0 0 0 120
Annual IC Time Burden (Hours) 154 0 0 0 0 154
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2013 2013.05.30_Attachment 1 - Research Plan - Burden Table.doc 06/24/2013
2013 2013.05.30_Attachment 4 - Consent Form.docx 06/24/2013
2013 2013.05.30_Attachment 5 - Materials.docx 06/24/2013
mini statement 2013.05.30_HMTS_Expedited_Form_CPPW_Focus_Groups[1].docx 07/03/2013
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