Information Collection

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

IC 236245 under ICR 201806-0920-001 · OMB 0920-0572.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0572 Focus Group Screener Developing Effective Messages about Excessive Alcohol Consumption: Enhanced Message Development and Testing	Form and Instruction
Form 0920-0572 Focus Group Discussion Guide Developing Effective Messages about Excessive Alcohol Consumption: Enhanced Message Development and Testing	Form and Instruction
Form 0920-0572 Audience Segmentation Survey 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

View Information Collection (IC)

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:

table that charts list of 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

Federal Enterprise Architecture Business Reference Module

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 %

table that charts list of burden
	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

table that charts IC Documents
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.