Assessment for the Be Antibiotics Aware (BAA) Consumer Campaign

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⚠️ Notice: This information collection may be referencing outdated material.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 Assessment for the Be Antibiotics Aware (BAA) Consumer Campaign Form and Instruction
0920-0572 BAACS Survey FINAL PRETEST Attachment C_BAA Consumer Survey_2020-01-22 FINAL PRETEST.docx Form and Instruction
0920-0572 BAA Consumer Survey_FINAL POSTTEST Attachment E_BAA Consumer Survey_2020-01-22 FINAL POSTTEST.docx Form and Instruction
Attachment A_BAA Pilot Assessment Overview_Consumers.docx Att A_BAA Polot AAssessment Overview IC Document
Attachment B_BAA Consumer Recruitment Invitation.docx Att B_BAA Consumer Recruitment Invitation IC Document
Attachment D_BAA Consumer Survey PRETEST - Screenshots.pdf Att D_BAA Consumer Survey PRESEST_Screenshots IC Document
Attachment F_BAA Consumer Survey POSTTEST - Screenshots.pdf Att F_BAA Consumer Survey POSTTEST_Screenshots IC Document
Attachment G_BAA Consumers Exempt 12.10.19.pdf AttG_BAA Consumers Exempt IC Document
HMTS Expedited Review Form - BAA Consumer Assessment.pdf Att H_AU Consumer Materials for Asessment Combined_FINAL IC Document

Information Collection (IC) Details

IC Title:	Assessment for the Be Antibiotics Aware (BAA) Consumer Campaign	Agency IC Tracking Number:	0920-0572-20HI

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
Form and Instruction	0920-0572	BAACS Survey FINAL PRETEST	Attachment C_BAA Consumer Survey_2020-01-22 FINAL PRETEST.docx		Yes	Yes	Fillable Printable
Form and Instruction	0920-0572	BAA Consumer Survey_FINAL POSTTEST	Attachment E_BAA Consumer Survey_2020-01-22 FINAL POSTTEST.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 180	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	180	180
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att A_BAA Polot AAssessment Overview	Attachment A_BAA Pilot Assessment Overview_Consumers.docx	02/13/2020
Att B_BAA Consumer Recruitment Invitation	Attachment B_BAA Consumer Recruitment Invitation.docx	02/13/2020
Att D_BAA Consumer Survey PRESEST_Screenshots	Attachment D_BAA Consumer Survey PRETEST - Screenshots.pdf	02/13/2020
Att F_BAA Consumer Survey POSTTEST_Screenshots	Attachment F_BAA Consumer Survey POSTTEST - Screenshots.pdf	02/13/2020
AttG_BAA Consumers Exempt	Attachment G_BAA Consumers Exempt 12.10.19.pdf	02/13/2020
Att H_AU Consumer Materials for Asessment Combined_FINAL	HMTS Expedited Review Form - BAA Consumer Assessment.pdf	02/13/2020

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