Data Collection Through Web Based Surveys for Evaluating Act Against AIDS Social Marketing Campaign Phases Targeting Consumers

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Development of Messages for the "Let's Stop HIV Together" National Campaign	Form and Instruction	New	Available
PD 6184 Continuation 0920-0920_Approved.pdf	Supplementary Document	Uploaded 2018-10-30	Available
Att1_Public Health Service Act 301 and 308.docx	Supplementary Document	Uploaded 2018-10-30	Available
Privacy Act Checklist_10-29-18_clean.doc	Supplementary Document	Uploaded 2018-10-30	Available
Att 7_Sensitive Questions_5-4-18.docx	Supplementary Document	Uploaded 2018-10-30	Available
Att 6_Sample Study Screener.docx	Supplementary Document	Uploaded 2018-10-30	Available
Att 5_Sample Email Invitation and Reminder.docx	Supplementary Document	Uploaded 2018-10-30	Available
Att 4_Sample Participant Consent Form_10-29-18_clean.docx	Supplementary Document	Uploaded 2018-10-30	Available
Att 3_Sample Survey Items.docx	Supplementary Document	Uploaded 2018-10-30	Available
Att 2_60-Day FRN Published.pdf	Supplementary Document	Uploaded 2018-10-30	Available
Supporting Statement B_10-29-18_clean ICRO.docx	Supporting Statement B	Uploaded 2018-10-30	Available
Supporting Statement A_10-29-18_clean ICRO.docx	Supporting Statement A	Uploaded 2018-10-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
244026	Development of Messages for the "Let's Stop HIV Together" National Campaign	Form and Instruction	New

ICR Details

OMB Control No: 0920-0920	ICR Reference No: 201809-0920-008
Status: Active	Previous ICR Reference No: 201502-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0920-10GI
Title: Data Collection Through Web Based Surveys for Evaluating Act Against AIDS Social Marketing Campaign Phases Targeting Consumers
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/27/2018
	Date Received in OIRA: 10/30/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2021	36 Months From Approved
Responses	38,664	0	0
Time Burden (Hours)	4,296	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC launched Act Against AIDS (AAA) in 2009 as a 5-year, multifaceted communication campaign to reduce HIV incidence in the US. The purpose is to evaluate the effectiveness of the AAA campaign messages on desired outcomes, and to determine mediating & moderating effects of participant characteristics on HIV-related outcomes. Changes to be examined include: attitudes, beliefs, & knowledge about HIV; receptivity to AAA campaign messages; perceived credibility; perceived risks of HIV & importance of HIV prevention & testing; intentions related to HIV prevention & testing; and HIV-related behaviors. Surveys will be used to evaluate the effectiveness of AAA campaign messages during the campaign development phase and to examine the associations between those groups who report exposure & those reporting no exposure to various AAA messages. Participants will self-administer.

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Authorizing Statute(s): US Code: 42 USC 301.241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 26289	06/06/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 53879	10/25/2018
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Development of Messages for the "Let's Stop HIV Together" National Campaign	n/a	Screenshots of Screener and Survey Instrument

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	38,664	0	0	0	38,664	0
Annual Time Burden (Hours)	4,296	0	0	0	4,296	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Entered the current requested responses and time burden in the Requested column.

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Annual Cost to Federal Government: $253,378

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/30/2018

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