Information Collection

Audience Research to Inform Physical Activity Guidelines Strategic Communication

IC 229829 under ICR 201509-0990-002 · OMB 0990-0281.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0281 can be found here:

Documents and Forms

Document Name Document Type
Att-C_OMB_PAG_2018.1.23.docx Other-Screener
Att-G_OMB_PAG_2018.1.23.docx Other-Moderator’s Guide
Att-I_OMB_PAG_2018.1.23.docx Other-Moderator’s Guide for Adolesce
Att-B_OMB_PAG_2017.12.21.docx Other-Screener Script for Parent
Att-H_OMB_PAG_2017.12.21.docx Other-Moderator’s Guide for Child
Supporting-Statement-A_OMB_PAG_OY1_2018.1.23.docx SS_A IC Document
Supporting-Statement-B_OMB_PAG_OY1_2017.12.21.docx SS-B IC Document
Att-A_OMB_PAG_2018.1.23.docx Screening Protocol IC Document
Att-E_OMB_PAG_2018.1.23.docx Focus Group Protocol IC Document
Att-F_OMB_PAG_2018.1.23.docx Protocol for Adolescent IC Document
Att-D_OMB_PAG_2017.12.21.docx Protocol for Parent IC Document
Att-J_OMB_PAG_2017.12.21.docx Informed Consent IC Document
Att-K_OMB_PAG_2018.1.23.docx Parental Consent IC Document
Att-L_OMB_PAG_2017.12.21.docx Assent Form IC Document
Att-M_OMB_PAG_2017.12.21.docx Incentive Receipt Form IC Document
Att-N_OMB_PAG_2018.1.23.docx Incentive Receipt Form for Child IC Document
Att-O_OMB_PAG_2018.1.23.docx Stimulus Materials for Parent IC Document
Att-P_OMB_PAG_2018.1.23.docx Stimulus Materials for Child IC Document
Att-Q_OMB_PAG_2017.12.21.docx Stimulus Materials for Adolescent IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Audience Research to Inform Physical Activity Guidelines Strategic Communication	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Moderatorâs Guide for Child	Att-H_OMB_PAG_2017.12.21.docx	No	Paper Only
Other-Screener	Att-C_OMB_PAG_2018.1.23.docx	No	Paper Only
Other-Moderatorâs Guide	Att-G_OMB_PAG_2018.1.23.docx	No	Paper Only
Other-Moderatorâs Guide for Adolescent	Att-I_OMB_PAG_2018.1.23.docx	No	Paper Only
Other-Screener Script for Parent	Att-B_OMB_PAG_2017.12.21.docx	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 352	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	352	352
Annual IC Time Burden (Hours)	148	148
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SS_A	Supporting-Statement-A_OMB_PAG_OY1_2018.1.23.docx	01/24/2018
SS-B	Supporting-Statement-B_OMB_PAG_OY1_2017.12.21.docx	01/24/2018
Screening Protocol	Att-A_OMB_PAG_2018.1.23.docx	01/24/2018
Focus Group Protocol	Att-E_OMB_PAG_2018.1.23.docx	01/24/2018
Protocol for Adolescent	Att-F_OMB_PAG_2018.1.23.docx	01/24/2018
Protocol for Parent	Att-D_OMB_PAG_2017.12.21.docx	01/24/2018
Informed Consent	Att-J_OMB_PAG_2017.12.21.docx	01/24/2018
Parental Consent	Att-K_OMB_PAG_2018.1.23.docx	01/24/2018
Assent Form	Att-L_OMB_PAG_2017.12.21.docx	01/24/2018
Incentive Receipt Form	Att-M_OMB_PAG_2017.12.21.docx	01/24/2018
Incentive Receipt Form for Child	Att-N_OMB_PAG_2018.1.23.docx	01/24/2018
Stimulus Materials for Parent	Att-O_OMB_PAG_2018.1.23.docx	01/24/2018
Stimulus Materials for Child	Att-P_OMB_PAG_2018.1.23.docx	01/24/2018
Stimulus Materials for Adolescent	Att-Q_OMB_PAG_2017.12.21.docx	01/24/2018

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