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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.