HMTS - Formative evaluation of Zika prevention strategies and messages among pregnant women and community leaders in Puerto Rico

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 220252

Documents and Forms
Information Collection (IC) Details

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HMTS - Formative evaluation of Zika prevention strategies and messages among pregnant women and community leaders in Puerto Rico
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Focus Group Discussion with Community Leaders in Puerto Rico to Explore Possible Actions for Preventing Zika 26FEB2016 FGD for assessing ACTIONS among community leaders.docx NA No   Paper Only
Form and Instruction NA Focus Group Discussion with Pregnant Women in Puerto Rico to Explore Possible Actions for Preventing Zika 26FEB2016 FGD for assessing ACTIONS among pregnant women.docx NA No   Paper Only
Form and Instruction NA Focus Group Discussion with Pregnant Women in Puerto Rico To Test Zika Prevention Messages 26FEB2016 FGD for testing messages with pregnant women.docx NA No   Paper Only
Form and Instruction NA In-depth Interview of Community Leaders in Puerto Rico to Explore Possible Actions for Preventing Zika 26FEB2016 IDI for assessing ACTIONS among community leaders.docx NA No   Paper Only
Form and Instruction NA In-depth Interview of Pregnant Women in Puerto Rico to Explore Possible Actions for Preventing Zika 26FEB2016 IDI for assessing ACTIONS among pregnant women.docx NA No   Paper Only
Form and Instruction NA In-depth Interview of Pregnant Women in Puerto Rico To Test Zika Prevention Messages 26FEB2016 IDI for testing messages with pregnant women.docx NA No   Paper Only

Health Public Health Monitoring

 

180 0
   
Individuals or Households
 
   0 %

  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 180 0 180 0 0 0
Annual IC Time Burden (Hours) 270 0 270 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Question Bank Item Number - Appendix A Appendix A -- Question bank item numbers.docx 02/26/2016
Health Message - Zika English ZikaMessaging_concept.pdf 03/02/2016
Health Message - Zika Spanish Text Message concepts for IDIs and focus groups in Puerto Rico REVISED and CLEAREDOADC Spanish.pptx 03/02/2016
HMTS - Zika Expedited Review Template - signed OADC HMTSExpeditedReviewForm - Zika in PR.pdf 03/02/2016
Health Message - Zika Spanish ZikaMessaging_concept_Spanish.pdf 03/02/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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