Information Collection

Be Antibiotics Aware Educational Message/Materials Assessment

IC 229773 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⚠️ Notice: This information collection may be referencing outdated material.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
Be Antibiotics Aware Educational Message/Materials Assessment	Form
Be Antibiotics Aware Consumer Survey (BAACS) 3. BAAS screen shots 011718.pdf	Form
1. BAA Survey Project Description 01182018.docx BAACS Project Description	IC Document
2. Be Antibiotics Aware Consumer Survey_HMTS Form 01182018.pdf HMTS Template for the BAACS	IC Document
4. BAACS IRB Exemption.pdf IRB Exemption	IC Document
5. Consumer Material Thumbnails 011718.docx Messages and Materials for Consumers - BAA Campaign	IC Document
6. Healthcare Professional Material Thumbnails 011718.docx Messages and Materials for Healthcare Professionals - BAA Campaign	IC Document

IC Title:

Be Antibiotics Aware Educational Message/Materials Assessment

Agency IC Tracking Number:

0920-18KE

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	n/a	Be Antibiotics Aware Consumer Survey (BAACS)	3. BAAS screen shots 011718.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,304

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	1,304	1,304
Annual IC Time Burden (Hours)	359	359
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
BAACS Project Description	1. BAA Survey Project Description 01182018.docx	01/18/2018
HMTS Template for the BAACS	2. Be Antibiotics Aware Consumer Survey_HMTS Form 01182018.pdf	01/18/2018
IRB Exemption	4. BAACS IRB Exemption.pdf	01/18/2018
Messages and Materials for Consumers - BAA Campaign	5. Consumer Material Thumbnails 011718.docx	01/18/2018
Messages and Materials for Healthcare Professionals - BAA Campaign	6. Healthcare Professional Material Thumbnails 011718.docx	01/18/2018

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