Development of Messages for the Act Against AIDS National Testing Campaign

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

OMB: 0920-0920

IC ID: 217066

Information Collection (IC) Details

View Information Collection (IC)

Development of Messages for the Act Against AIDS National Testing Campaign 15MG
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Development of Messages Survey Att 2_Web-Based Survey.docx Yes Yes Fillable Fileable
Form none Development of Messages Survey - screenshots Att 2a_New National Screen Shots.pdf Yes Yes Fillable Fileable
Form none Screener Att 3_Web-Based Screener.docx Yes Yes Fillable Fileable

Health Health Care Services

 

3,744 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,744 0 3,744 0 0 0
Annual IC Time Burden (Hours) 871 0 871 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A Supporting Statement A-Clean.docx 06/17/2015
Supporting Statement B Supporting Statement B.docx 06/17/2015
Consent Att 4_Consent.docx 06/17/2015
Email Notification Att 5_Email Reminder.docx 06/17/2015
Messages Concepts.pdf 06/17/2015
Table Shells Table shells_Web Survey_OMB_2015-2-24.docx 06/17/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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