Information Collection

Office of the Associate Director for Communication (OADC) Message and Material Feedback

IC 221858 under ICR 201502-0920-001 · OMB 0920-0572.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0572 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OADC Message and Material Feedback Survey - Screener Office of the Associate Director for Communication (OADC) Message and Material Feedback	Form and Instruction
OADC Message and Material Feedback Survey - Health Material Questions Office of the Associate Director for Communication (OADC) Message and Material Feedback	Form and Instruction
OADC Message and Material Feedback Survey - Screener Attachment-E_OADC Material Feedback Surveys - Screener Questions (online).docx	Form and Instruction
OADC Message and Material Feedback Survey - Health Mater Attachment-I_OADC Material Feedback Surveys - Health Material Questions (online).docx	Form and Instruction
Attachment-A_OADC Material Feedback Surveys Protocol.docx OADC Material Feedback Survey - Protocol	IC Document
Attachment-B_OADC Material Feedback Surveys Materials.docx OADC Material Feedback Survey - Material to Test	IC Document
Attachment-C_OADC Material Feedback Surveys Email Invitation.docx Email Invitation	IC Document
Attachment-D_OADC Material Feedback Surveys - Screener Questions (text).docx OADC Material Feedback Survey - Screener (Text)	IC Document
Attachment-F_OADC Material Feedback Surveys - Consent (text).docx OADC Material Feedback Survey - Consent (Text)	IC Document
Attachment-G_OADC Material Feedback Surveys - Consent (online).docx OADC Material Feedback Survey - Consent (Online)	IC Document
Attachment-H_OADC Material Feedback Surveys - Health Material Questions (text).docx OADC Material Feedback Survey - Health Material Questions (Text)	IC Document
OADC TO25 Material Feedback Surveys HMTS Expedited Review Form.pdf HMTS Expedited Review Form	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Office of the Associate Director for Communication (OADC) Message and Material Feedback

Agency IC Tracking Number:

16AQN

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA			NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA			NA	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OADC Material Feedback Survey - Protocol		06/10/2016
OADC Material Feedback Survey - Material to Test		06/10/2016
Email Invitation		06/10/2016
OADC Material Feedback Survey - Screener (Text)		06/10/2016
OADC Material Feedback Survey - Consent (Text)		06/10/2016
OADC Material Feedback Survey - Consent (Online)		06/10/2016
OADC Material Feedback Survey - Health Material Questions (Text)		06/10/2016
HMTS Expedited Review Form		06/10/2016

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

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