Developing Effective Messages about Excessive Alcohol Consumption: Enhanced Message Development and Testing

CDC and ATSDR Health Message Testing System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0572 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0572 Developing Effective Messages about Excessive Alcohol Consumption: Enhanced Message Development and Testing Form and Instruction
0920-0572 Focus Group Screener 0572 CDC Enhanced Message Development Focus Group Screener final.docx Form and Instruction
0920-0572 Focus Group Discussion Guide 0572 CDC Enhanced Message Development Focus Group Discussion Guide final.docx Form and Instruction
0920-0572 Audience Segmentation Survey 0572 CDC Enhanced Message Development Audience Segmentation Survey final.docx Form and Instruction
HMTS Expedited Review Form CDC Alcohol_Message Testing Focus Groups_12-6-18 -signed ICRO.pdf Expedited Review Form Focus Group IC Document
HMTS Expedited Review Form_CDC Alcohol Audience Survey_12-6-18 signed final.pdf Expedited Review From Online Survey IC Document
0572 CDC Alcohol - Message Frame Testing Consent Form.docx Consent Form IC Document
0572 Protocol Exempt Determination Notice.pdf Exempt Determination IC Document
0572 Alcohol definition stimuli.pptx Alcohol Definition PPT IC Document
0572 CDC Alcohol - Message Frame - Imagery Worksheet.docx Imagery Worksheet IC Document
0572 CDC Alcohol - Message Frame Testing_Ranking Worksheet.pptx Ranking Worksheet IC Document

Information Collection (IC) Details

IC Title:	Developing Effective Messages about Excessive Alcohol Consumption: Enhanced Message Development and Testing	Agency IC Tracking Number:	0920-0572-19BDF

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0572	Focus Group Screener	0572 CDC Enhanced Message Development Focus Group Screener final.docx	No		Fillable Fileable
Form and Instruction	0920-0572	Focus Group Discussion Guide	0572 CDC Enhanced Message Development Focus Group Discussion Guide final.docx	No		Fillable Fileable
Form and Instruction	0920-0572	Audience Segmentation Survey	0572 CDC Enhanced Message Development Audience Segmentation Survey final.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,896	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,896	1,896
Annual IC Time Burden (Hours)	216	216
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Expedited Review Form Focus Group	HMTS Expedited Review Form CDC Alcohol_Message Testing Focus Groups_12-6-18 -signed ICRO.pdf	05/30/2019
Expedited Review From Online Survey	HMTS Expedited Review Form_CDC Alcohol Audience Survey_12-6-18 signed final.pdf	06/18/2019
Consent Form	0572 CDC Alcohol - Message Frame Testing Consent Form.docx	05/30/2019
Exempt Determination	0572 Protocol Exempt Determination Notice.pdf	05/30/2019
Alcohol Definition PPT	0572 Alcohol definition stimuli.pptx	05/30/2019
Imagery Worksheet	0572 CDC Alcohol - Message Frame - Imagery Worksheet.docx	05/30/2019
Ranking Worksheet	0572 CDC Alcohol - Message Frame Testing_Ranking Worksheet.pptx	06/18/2019

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