Data Collection Through Web Based Surveys for Evaluating Act Against AIDS Social Marketing Campaign Phases Targeting Consumers

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Development of Messages for the Act Against AIDS National Testing Campaign	Form	New	Available
Att6_Sample Study Screener.docx	Supplementary Document	Uploaded 2015-02-11	Available
Att 5_Email Reminder.docx	Supplementary Document	Uploaded 2015-02-11	Available
Att4_Sample Participant Consent Form.docx	Supplementary Document	Uploaded 2015-02-11	Available
Att3_Potential Sample Survey Items.docx	Supplementary Document	Uploaded 2015-02-11	Available
Att2_60 Day FRN Published.pdf	Supplementary Document	Uploaded 2015-02-11	Available
Att 1_Authorizing Legislation.pdf	Supplementary Document	Uploaded 2015-02-11	Available
Supporting Statement B_clean_5-28-15.docx	Supporting Statement B	Uploaded 2015-06-02	Available
Supporting Statement A_clean_5-28-15.docx	Supporting Statement A	Uploaded 2015-06-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217066	Development of Messages for the Act Against AIDS National Testing Campaign	Form	New

ICR Details

OMB Control No: 0920-0920	ICR Reference No: 201502-0920-006
Status: Historical Active	Previous ICR Reference No: 201403-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Data Collection Through Web Based Surveys for Evaluating Act Against AIDS Social Marketing Campaign Phases Targeting Consumers
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/09/2015
	Date Received in OIRA: 02/23/2015
Terms of Clearance: Previous terms continue: For each information collection, a GenIC information collection request will be prepared and submitted to OMB for review and approval. Any changes to the ICR will also be submitted to OMB for review and approval.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2018	36 Months From Approved	06/30/2015
Responses	190,494	0	72,000
Time Burden (Hours)	21,168	0	8,001
Cost Burden (Dollars)	0	0	0

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Abstract: CDC launched Act Against AIDS (AAA) in 2009 as a 5-year, multifaceted communication campaign to reduce HIV incidence in the US. The purpose is to evaluate the effectiveness of the AAA campaign messages on desired outcomes, and to determine mediating & moderating effects of participant characteristics on HIV-related outcomes. Changes to be examined include: attitudes, beliefs, & knowledge about HIV; receptivity to AAA campaign messages; perceived credibility; perceived risks of HIV & importance of HIV prevention & testing; intentions related to HIV prevention & testing; and HIV-related behaviors. Surveys will be used to evaluate the effectiveness of AAA campaign messages during the campaign development phase and to examine the associations between those groups who report exposure & those reporting no exposure to various AAA messages. Participants will self-administer.

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Authorizing Statute(s): US Code: 42 USC 301.241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 69120	11/20/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 8654	02/18/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Development of Messages for the Act Against AIDS National Testing Campaign	none, none, none	Development of Messages Survey ,   Development of Messages Survey - screenshots ,   Screener

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	190,494	72,000	0	118,494	0	0
Annual Time Burden (Hours)	21,168	8,001	0	13,167	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Sample size was adjusted to account for completed surveys and burden needed to complete the total sample. Numbers previously entered in ROCIS were not tripled to allow for three years of clearance; the large increase in burden is due to rectifying this error. Annual burden has decreased but total for three years indicates an increase.

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Annual Cost to Federal Government: $247,586

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/23/2015

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