Radiation Concepts/Comparison Message Testing

CDC and ATSDR Health Message Testing System

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Radiation Concepts/Comparison Message Testing Form and Instruction
Attachment D Focus Group mod guide.docx Other-Moderator's Guide
Attachment E Interview Guide.docx Other-Interview Guide
Interview Screener Attachment A Interview Screener .docx Form and Instruction
Focus Group Screener Attachment B Focus Group Screener.docx Form and Instruction
Attachment C RSB Radiation Comparison Messages.docx Messages for Testing IC Document
Attachment F Info Sheet5-24-17.docx Information Sheet IC Document
Attachment G Protocol.docx Protocol IC Document
HMTSExpeditedReviewForm_Comparison Messages.pdf Request for Approval IC Document
Project Summary.docx Project Summary IC Document

Information Collection (IC) Details

IC Title:	Radiation Concepts/Comparison Message Testing	Agency IC Tracking Number:	0920-17AMN

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	Interview Screener	Attachment A Interview Screener .docx	Yes	No	Paper Only
Form and Instruction	none	Focus Group Screener	Attachment B Focus Group Screener.docx	Yes	No	Paper Only
Other-Moderator's Guide			Attachment D Focus Group mod guide.docx	No		Paper Only
Other-Interview Guide			Attachment E Interview Guide.docx	No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

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: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	170	170
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Messages for Testing	Attachment C RSB Radiation Comparison Messages.docx	05/25/2017
Information Sheet	Attachment F Info Sheet5-24-17.docx	05/25/2017
Protocol	Attachment G Protocol.docx	05/25/2017
Request for Approval	HMTSExpeditedReviewForm_Comparison Messages.pdf	05/25/2017
Project Summary	Project Summary.docx	05/25/2017

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