COVID-19 Attitudes and Beliefs Survey (CABS)

ASPA COVID-19 Public Education Campaign Evaluation Surveys

OMB: 0990-0475

IC ID: 245275

Information Collection (IC) Details

View Information Collection (IC)

COVID-19 Attitudes and Beliefs Survey (CABS)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Attachment A Attachment A: COVID-19 Attitudes and Beliefs Survey (CABS) – Questionnaire Part A_Attachment A_COVID-19 Attitudes and Beliefs_Questionnaire.docx Yes Yes Fillable Fileable
Form and Instruction Attachment B Attachment B: COVID-19 Attitudes and Beliefs Survey – NORC Consent Form Part A_Attachment B_COVID-19 Attitudes and Beliefs Survey_NORC Consent Form.docx Yes Yes Fillable Fileable
Form and Instruction Attachment C Attachment C: COVID-19 Attitudes and Beliefs Survey – Communications Part A_Attachment C_COVID-19 Attitudes and Beliefs Survey_Communications.docx Yes Yes Fillable Fileable

Health Health Care Services

 

4,000 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 12,000 0 12,000 0 0 0
Annual IC Time Burden (Hours) 6,960 0 6,960 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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