Development of CDC's Act Against AIDS Social Marketing Campaigns Targeting Consumers

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Att 4b Consent Form-IDI.docx	Supplementary Document	Uploaded 2017-03-13	Available
Att 7 Messages.docx	Supplementary Document	Uploaded 2017-01-03	Available
Att 6 Intercept Receipt Form.docx	Supplementary Document	Uploaded 2017-01-03	Available
Att 5 Privacy Agreement.docx	Supplementary Document	Uploaded 2017-01-03	Available
Att 4a Consent Form-FG.docx	Supplementary Document	Uploaded 2017-01-03	Available
Att 2_60dyFRN.pdf	Supplementary Document	Uploaded 2017-01-03	Available
Att 2 60-Day FRN_revised.docx	Supplementary Document	Uploaded 2017-01-03	Available
SS B.docx	Supporting Statement B	Uploaded 2017-01-03	Available
SSA_ 2-27.docx	Supporting Statement A	Uploaded 2017-03-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
225015	Att 3t: Intercept Interview Guide	Other-WORD	New
225014	Att 3s: HIV Prevention with Positives Brief Survey Instrument	Other-WORD	New
225013	Att 3r: HIV Communication and Awareness Brief Survey Instrument	Other-WORD	New
225011	Att 3q: HIV Prevention Brief Survey Instrument	Other-WORD	New
225010	Att 3p: HIV Testing Brief Survey Instrument	Other-WORD	New
225009	Att 3o: Consumer Materials Testing Focus Group Guide	Other-ord	New
225008	Att 3n: Consumer Concept Testing Focus Group Guide	Other-WORD	New
225007	Att 3m: Consumer Message Testing Focus Group Guide	Other-WORD	New
225005	Att 3l: Exploratory HIV Prevention eith Positives Focus Group Guide	Other-WORD	New
225004	Att 3k: Exploratory HIV Communication and Awareness Focus Group Guide	Other-WORD	New
225003	Att 3j: Exploratory HIV Testing Focus Group Guide	Other-WORD	New
225002	Att 3i: Exploratory HIV Testing Focus Group Guide	Other-WORD	New
225001	Att 3h: Consumer Materials Testing In-Depth Interview Guide	Other-WORD	New
224999	Att 3g: Consumer Concept Testing In-Depth Interview Guide	Other-WORD	New
224997	Att 3f: Consumer Message Testing In-Depth Interview Guide	Other-WORD	New
224996	Att 3e: Exploratory HIV Prevention with Positives In-Depth Interview Guide	Other-WORD	New
224995	Att 3d: Exploratory HIV Communication and Awareness In-Depth Interview Guide	Other-WORD	New
224994	Att 3c: Exploratory HIV Prevention In-Dept Interview Guide	Other-WORD	New
224991	Att 3b: Exploratory HIV Testing In-dept Interview Guide	Other-WORD	New
224989	Att 3a_Screener Instrument for In-depth Interviews and Focus Group	Other-WORD	New

ICR Details

OMB Control No: 0920-1169	ICR Reference No: 201701-0920-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 16ATI
Title: Development of CDC's Act Against AIDS Social Marketing Campaigns Targeting Consumers
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/15/2017
	Date Received in OIRA: 01/09/2017
Terms of Clearance: Approved consistent with the understanding that this is a qualitative study to assess health message testing materials and concepts. Results will not be generalizable to broader populations.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	36 Months From Approved
Responses	5,038	0	0
Time Burden (Hours)	2,063	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of this study is to qualitatively test messages and materials that will be used in social marketing campaigns, under the Act Against AIDS initiative, that target consumers, in order to increase HIV testing rates, increase HIV awareness and knowledge, challenge, commonly held misperceptions about HIV, and promote HIV prevention and risk reduction. Methods to be used to collect data include focus groups, intercept interviews, and in-depths interviews.

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Authorizing Statute(s): US Code: 42 USC 301-241(a) 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:
	81 FR 43204	07/01/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 91935	12/19/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 20

table that charts list of burden

IC Title	Form No.	Form Name
Att 3k: Exploratory HIV Communication and Awareness Focus Group Guide
Att 3l: Exploratory HIV Prevention eith Positives Focus Group Guide
Att 3r: HIV Communication and Awareness Brief Survey Instrument
Att 3c: Exploratory HIV Prevention In-Dept Interview Guide
Att 3t: Intercept Interview Guide
Att 3a_Screener Instrument for In-depth Interviews and Focus Group
Att 3b: Exploratory HIV Testing In-dept Interview Guide
Att 3d: Exploratory HIV Communication and Awareness In-Depth Interview Guide
Att 3e: Exploratory HIV Prevention with Positives In-Depth Interview Guide
Att 3f: Consumer Message Testing In-Depth Interview Guide
Att 3g: Consumer Concept Testing In-Depth Interview Guide
Att 3h: Consumer Materials Testing In-Depth Interview Guide
Att 3i: Exploratory HIV Testing Focus Group Guide
Att 3j: Exploratory HIV Testing Focus Group Guide
Att 3m: Consumer Message Testing Focus Group Guide
Att 3n: Consumer Concept Testing Focus Group Guide
Att 3o: Consumer Materials Testing Focus Group Guide
Att 3p: HIV Testing Brief Survey Instrument
Att 3q: HIV Prevention Brief Survey Instrument
Att 3s: HIV Prevention with Positives Brief Survey Instrument

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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	5,038	0	0	5,038	0	0
Annual Time Burden (Hours)	2,063	0	0	2,063	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: This is a NEW collection request for a new OMB Control Number.

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Annual Cost to Federal Government: $519,298

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 01/09/2017

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