Information Collection

Persuasive Communication about Risks from and Responses to Zika: FOCUS GROUPS

IC 228512 under ICR 201610-0920-009 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Persuasive Communication about Risks from and Responses to Zika: FOCUS GROUPS	Form and Instruction
Focus Group - Vignette AttH-Vignette.docx	Form and Instruction
AttD-RecruitLetter.docx Focus Group - Recruitment Letter	IC Document
AttE-ConsentLetter.docx Focus Group - Consent Script	IC Document
AttF-HumSubjExempt.docx Research Determination Exemption	IC Document
0920-1154-SSA_v2-PersuasiveComm-20170928clean.docx Supporting Statement A	IC Document
0920-1154-SSB_v2-PersuasiveComm-20170928clean.docx Supporting Statement B	IC Document

IC Title:

Persuasive Communication about Risks from and Responses to Zika: FOCUS GROUPS

Agency IC Tracking Number:

0920-1154-17AYO

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 and Instruction	NA	Focus Group - Vignette	AttH-Vignette.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 72

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	72	72
Annual IC Time Burden (Hours)	216	216
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Focus Group - Recruitment Letter	AttD-RecruitLetter.docx	09/28/2017
Focus Group - Consent Script	AttE-ConsentLetter.docx	09/28/2017
Research Determination Exemption	AttF-HumSubjExempt.docx	09/28/2017
Supporting Statement A	0920-1154-SSA_v2-PersuasiveComm-20170928clean.docx	09/28/2017
Supporting Statement B	0920-1154-SSB_v2-PersuasiveComm-20170928clean.docx	09/28/2017

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