Information Collection

CDC Enhanced Message Development and Testing to Prevent Excessive Alcohol Consumption Study – Creative Concept Testing Focus Groups/Copy Testing Survey

IC 242672 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⚠️ Notice: This information collection may be referencing outdated material.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 CDC Enhanced Message Development and Testing to Prevent Excessive Alcohol Consumption Study – Creative Concept Testing Focus Groups/Copy Testing Survey	Form
CDC Alcohol - Enhanced Message Development Focus Group Discussion Guide_CONCERNED FINAL (1).docx	Instruction
CDC Alcohol - Enhanced Message Development Focus Group Discussion Guide_NONCOMMITTAL FINAL (1).docx	Instruction
CDC Alcohol - Enhanced Message Development Focus Group Discussion Guide_UNCONCERNED FINAL (1).docx	Instruction
CDC Alcohol - Enhanced Message Development Survey Draft (1).docx	Instruction
0920-0572 CDC Alcohol - Creative Concept Testing Rating Worksheet CDC Alcohol - Crateive Concept Testing_Rating Worksheet_0424 Uncon&Noncom (1).pptx	Form
0920-0572 CDC Alcohol Creative Concept Testing Ranking Worksheet - CDC Alcohol - Creative Concept Testing_Ranking Worksheet_0424 Concerned (1).pptx	Form
0920-0572 Creative Concept Testing Ranking Worksheet Uncon&Noncom CDC Alcohol - Creative Concept Testing_Ranking Worksheet_0424 Uncon&noncom (1).pptx	Form
0920-0572 Creative Concept Testing Rating - concerned CDC Alcohol - Creative Concept Testing_Rating Worksheet_0424 Concerned (1).pptx	Form
0920-0572 Screener CDC Alcohol - Screener_CDC Creative Concept Testing Focus Group (1).docx	Form
CDC Alcohol - HMTS Expedited Review Form CDC Alcohol_Creative Concept Testing Focus Group (1).pdf Request for Approval (Focus Group)	IC Document
CDC Alcohol - HMTS Expedited Review Form CDC Alcohol_Copy Testing Survey (1).pdf Request for Approval (Copy Testing)	IC Document
CDC Alcohol -definition stimuli 3-15-19 (1).pptx Definitions Stimuli	IC Document
CDC Alcohol - Creative Concept Testing Consent Form_FINAL (1).docx Focus Group Consent	IC Document
Final creative materials_presentation_7.16.20.ppt Creative Materials	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

CDC Enhanced Message Development and Testing to Prevent Excessive Alcohol Consumption Study â Creative Concept Testing Focus Groups/Copy Testing Survey

Agency IC Tracking Number:

0920-0572-20QL

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	0920-0572	CDC Alcohol - Creative Concept Testing Rating Worksheet	CDC Alcohol - Crateive Concept Testing_Rating Worksheet_0424 Uncon&Noncom (1).pptx	No		Fillable Fileable
Form	0920-0572	CDC Alcohol Creative Concept Testing Ranking Worksheet - Concerned	CDC Alcohol - Creative Concept Testing_Ranking Worksheet_0424 Concerned (1).pptx	No		Fillable Printable
Form	0920-0572	Creative Concept Testing Ranking Worksheet Uncon&Noncom	CDC Alcohol - Creative Concept Testing_Ranking Worksheet_0424 Uncon&noncom (1).pptx	No		Fillable Printable
Form	0920-0572	Creative Concept Testing Rating - concerned	CDC Alcohol - Creative Concept Testing_Rating Worksheet_0424 Concerned (1).pptx	No		Fillable Fileable
Instruction			CDC Alcohol - Enhanced Message Development Focus Group Discussion Guide_CONCERNED FINAL (1).docx	No		Paper Only
Instruction			CDC Alcohol - Enhanced Message Development Focus Group Discussion Guide_NONCOMMITTAL FINAL (1).docx	No		Paper Only
Instruction			CDC Alcohol - Enhanced Message Development Focus Group Discussion Guide_UNCONCERNED FINAL (1).docx	No		Paper Only
Instruction			CDC Alcohol - Enhanced Message Development Survey Draft (1).docx	No		Paper Only
Form	0920-0572	Screener	CDC Alcohol - Screener_CDC Creative Concept Testing Focus Group (1).docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 596

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 54 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	596	596
Annual IC Time Burden (Hours)	397	397
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval (Focus Group)	CDC Alcohol - HMTS Expedited Review Form CDC Alcohol_Creative Concept Testing Focus Group (1).pdf	07/15/2020
Request for Approval (Copy Testing)	CDC Alcohol - HMTS Expedited Review Form CDC Alcohol_Copy Testing Survey (1).pdf	07/15/2020
Definitions Stimuli	CDC Alcohol -definition stimuli 3-15-19 (1).pptx	07/15/2020
Focus Group Consent	CDC Alcohol - Creative Concept Testing Consent Form_FINAL (1).docx	07/15/2020
Creative Materials	Final creative materials_presentation_7.16.20.ppt	08/06/2020

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