ASPA COVID-19 Public Education Campaign Evaluation Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Attachment C Attachment C: COVID-19 Attitudes and Beliefs Survey – Communications	Form and Instruction	New	Available
Form Attachment B Attachment B: COVID-19 Attitudes and Beliefs Survey – NORC Consent Form	Form and Instruction	New	Available
Form Attachment A Attachment A: COVID-19 Attitudes and Beliefs Survey (CABS) – Questionnaire	Form and Instruction	New	Available
Form Attachment G Attachment G: COVID-19 Monthly Outcome Survey – Communications	Form and Instruction	New	Available
Form Attachment F Attachment F: COVID-19 Monthly Outcome Survey – Consent Form	Form and Instruction	New	Repair queued
Form Attachment E Attachment E: COVID-19 Monthly Outcome Survey – Ipsos Omnibus COVID Questions	Form and Instruction	New	Available
Form Attachment D Attachment D: COVID-19 Monthly Outcome Survey – Questionnaire	Form and Instruction	New	Available
ASPA COVID-19 Public Education Campaign Evaluation Surveys_OMB Emergency Justification_010421.docx	Supplementary Document	Uploaded 2021-01-08	Available
ASPA COVID-19 Public Education Campaign Evaluation Surveys_SupportingStatement Part B_010421.docx	Supporting Statement B	Uploaded 2021-01-08	Available
ASPA COVID-19 Public Education Campaign Evaluation Surveys_Supporting Statement Part A_010421.docx	Supporting Statement A	Uploaded 2021-01-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
245275	COVID-19 Attitudes and Beliefs Survey (CABS)	Form and Instruction	New	Attachment C: COVID-19 Attitudes and Beliefs Survey – Communications
245275	COVID-19 Attitudes and Beliefs Survey (CABS)	Form and Instruction	New	Attachment B: COVID-19 Attitudes and Beliefs Survey – NORC Consent Form
245275	COVID-19 Attitudes and Beliefs Survey (CABS)	Form and Instruction	New	Attachment A: COVID-19 Attitudes and Beliefs Survey (CABS) – Questionnaire
245272	Monthly Outcome Survey (MOS)	Form and Instruction	New	Attachment G: COVID-19 Monthly Outcome Survey – Communications
245272	Monthly Outcome Survey (MOS)	Form and Instruction	New	Attachment F: COVID-19 Monthly Outcome Survey – Consent Form
245272	Monthly Outcome Survey (MOS)	Form and Instruction	New	Attachment E: COVID-19 Monthly Outcome Survey – Ipsos Omnibus COVID Questions
245272	Monthly Outcome Survey (MOS)	Form and Instruction	New	Attachment D: COVID-19 Monthly Outcome Survey – Questionnaire

ICR Details

OMB Control No: 0990-0475	ICR Reference No: 202101-0990-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: ASPA COVID-19 Public Education Campaign Evaluation Surveys
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 01/08/2021
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/08/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/08/2021
Terms of Clearance: Since this data collection is intended to last for more than six months, it is approved with the understand that HHS will take steps to get the collection approved for the entire collection period using normal PRA procedures.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2021	6 Months From Approved
Responses	72,000	0	0
Time Burden (Hours)	17,160	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of the Assistant Secretary for Public Affairs (ASPA) is collecting information through the COVID-19 Attitudes and Beliefs Survey (CABS) and Monthly Outcome Survey (MOS) to evaluate the impact of the HHS COVID-19 Public Education Campaign. Throughout the duration of the campaign, this information will primarily be used by ASPA to determine whether the campaign is having the intended impact on target audiences’ knowledge, attitudes, and beliefs as they relate to COVID-19 and targeted preventative behaviors. This will inform an evaluation of the efficacy of the Campaign subsequent changes to Campaign messaging or strategy. The information will also be used to keep key stakeholders informed of the Campaign’s progress. At the conclusion of the Campaign, the information collected in these two outcome evaluation surveys will be used to inform a final cost-benefit analysis.

Emergency Justfication: In light of the current COVID-19 crisis, there is an immediate need to inform U.S. adults on scientifically proven behaviors to decrease COVID-19 infection rates through a COVID-19 public education communication campaign. These preventative behaviors, to be targeted through the ASPA COVID-19 campaign, include COVID-19 vaccine uptake, social distancing, wearing a mask, handwashing, as well as COVID-19-related clinical trial participation and flu vaccination uptake. Accordingly, there is a need to evaluate the extent to which the COVID-19 campaign influences key attitudinal and behavioral outcomes, to ensure campaign outcomes are achieved in target populations.

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Authorizing Statute(s): US Code: 42 USC U.S.C. 247d [1]
  

Citations for New Statutory Requirements: US Code: 42 USC U.S.C. 247d [1]

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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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
COVID-19 Attitudes and Beliefs Survey (CABS)	Attachment A, Attachment B, Attachment C	Attachment A: COVID-19 Attitudes and Beliefs Survey (CABS) – Questionnaire ,   Attachment B: COVID-19 Attitudes and Beliefs Survey – NORC Consent Form ,   Attachment C: COVID-19 Attitudes and Beliefs Survey – Communications
Monthly Outcome Survey (MOS)	Attachment D, Attachment E, Attachment F, Attachment G	Attachment D: COVID-19 Monthly Outcome Survey – Questionnaire ,   Attachment E: COVID-19 Monthly Outcome Survey – Ipsos Omnibus COVID Questions ,   Attachment F: COVID-19 Monthly Outcome Survey – Consent Form ,   Attachment G: COVID-19 Monthly Outcome Survey – Communications

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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	72,000	0	0	72,000	0	0
Annual Time Burden (Hours)	17,160	0	0	17,160	0	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: N/A

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Annual Cost to Federal Government: $4,463,416

Does this IC contain surveys, censuses, or employ statistical methods? No

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? Yes

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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: 01/08/2021

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