Tailor Health Messaging to Address Racial and Ethnic Disparities in Adult Immunization

Fast Track Generic Clearance for the Collection of Routine Customer Feedback - HHS Communication

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0459 can be found here:

Documents and Forms

Document Name Document Type
0990-0459 Health Messages Focus Group Protocol.V2.03.20.2020.docx Other-Protocol
0990-0459 MEMO_FastTrack Generic Clearance Submission Template. 03.20.20 (002).docx memo IC Document

Information Collection (IC) Details

IC Title:	Tailor Health Messaging to Address Racial and Ethnic Disparities in Adult Immunization	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Protocol			0990-0459 Health Messages Focus Group Protocol.V2.03.20.2020.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	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	30	30
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
memo	0990-0459 MEMO_FastTrack Generic Clearance Submission Template. 03.20.20 (002).docx	03/20/2020

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