Information Collection

Message Testing among Public Audiences in US Virgin Islands for Zika prevention

IC 224378 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⚠️ Notice: This information collection may be referencing outdated material.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
Message Testing among Public Audiences in US Virgin Islands for Zika prevention	Form and Instruction
Intercept interview for message testing Intercept interviews for testing messages with public audiences USVI.docx	Form and Instruction
0920-0572 - Intercept Interviews with Public Audiences in USVI (002).pdf Approval Request Form	IC Document
Mosquito Control During an Outbreak_110316FINAL.docx Mosquito Control Information Sheet	IC Document
truckmounted-factsheet.pdf Truck mounted spraying fact sheet	IC Document
16_263062-Q_LivingInAreasWithZika_USVI.pdf Pregnant in Zika Area fact sheet	IC Document
16_272334-A_Carter_FightTheBite_v2.pdf Fight the Bite messages	IC Document
16_258143-H_MosquitoBitePrevention-ENG_updates10-4.pdf Mosquito Bite Prevention message	IC Document

IC Title:

Message Testing among Public Audiences in US Virgin Islands for Zika prevention

Agency IC Tracking Number:

17DA

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	none	Intercept interview for message testing	Intercept interviews for testing messages with public audiences USVI.docx		Yes	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Approval Request Form	0920-0572 - Intercept Interviews with Public Audiences in USVI (002).pdf	11/09/2016
Mosquito Control Information Sheet	Mosquito Control During an Outbreak_110316FINAL.docx	11/09/2016
Truck mounted spraying fact sheet	truckmounted-factsheet.pdf	11/09/2016
Pregnant in Zika Area fact sheet	16_263062-Q_LivingInAreasWithZika_USVI.pdf	11/09/2016
Fight the Bite messages	16_272334-A_Carter_FightTheBite_v2.pdf	11/09/2016
Mosquito Bite Prevention message	16_258143-H_MosquitoBitePrevention-ENG_updates10-4.pdf	11/09/2016

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