OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Communities Putting Prevention to Work (CPPW) National Media Initiative -- Message Testing

IC 208865 under ICR 201501-0920-003 · OMB 0920-0572.

Documents and Forms
Document Name
Document Type
Other-Word
Other-Word
Other-Word
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Communities Putting Prevention to Work (CPPW) National Media Initiative -- Message Testing
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Word Attachment 2_Eligibility Screener 08 13 13v3.docx Yes Yes Fillable Printable
Other-Word Attachment 3_Interview Protocol 08 13 13v3.docx Yes Yes Fillable Printable
Other-Word Attachment 4_Messages for Testing 08 13 13.docx Yes Yes Fillable Printable

Health Immunization Management

 

300 0
   
State, Local, and Tribal Governments
 
   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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 60 0 0 0 0 60
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 1_Research Plan - Burden Table 08 13 13v3 Attachment 1_Research Plan - Burden Table 08 13 13v3.docx 09/25/2013
HMTS Expedited Review Form 08 13 13v3 HMTS Expedited Review Form 08 13 13v3.docx 09/25/2013
List of Attachments 08 8 13 List of Attachments 08 8 13.docx 09/25/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.