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Federal forms, ICRs, and supporting documents

Information Collection

Information Collection to Assess the Viajo sin Zika Awareness Communication Campaign for Hispanics/Latinos Visiting Friends and Relatives

IC 232627 under ICR 201803-0920-013 · OMB 0920-0932.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Information Collection to Assess the Viajo sin Zika Awareness Communication Campaign for Hispanics/Latinos Visiting Friends and Relatives 0920-0932 18AVH
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0932 Viajo sin Zika Online Focus Group Screener - English Att D - Online screener.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-0932 Viajo sin Zika Online Focus Group Screener - Spanish Att D - Online screener (Spanish).docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-0932 Viajo sin Zika Online Focus Group Moderator Guide - English Att E - Focus Group Moderators Guide.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-0932 Viajo sin Zika Online Focus Group Moderator Guide - Spanish Att E - Focus Group Moderators Guide (Spanish).docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

216 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 216 0 216 0 0 0
Annual IC Time Burden (Hours) 84 0 84 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Email Invitation to Partner Organizations Att A - Email invitation to partner organizations.docx 08/15/2018
Email Invitation to Partner Organization Members Att B - Email invitation to partner organization members.docx 08/15/2018
Recruitment Flyer - English Att C - Recruitment Flyer.docx 08/15/2018
Recruitment Flyer - Spanish Att C - Recruitment Flyer (Spanish).docx 08/15/2018
IRB Determination Att F - IRB Determination.pdf 08/15/2018
Supporting Statement A Viajo sin Zika_Supporting Statement A_8.9.18_FINAL.docx 08/15/2018
Supporting Statement B Viajo sin Zika_Supporting Statement B_8.9.18.docx 08/15/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.