Information Collection

Health Equity Message Testing

IC 252904 under ICR 202108-0920-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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 In-Depth Interviews: Communication Materials Health Equity Message Testing	Form and Instruction
Form 0920-0572 Focus Groups: Communication Materials Health Equity Message Testing	Form and Instruction
0920-0572 In-Depth Interviews: Communication Materials 734_CDC_HE_IDI Comm Materials_FINAL_02.04.2022_CLEAN.docx	Form and Instruction
0920-0572 Focus Groups: Communication Materials 734_CDC_HE_Focus Groups Comm Materials_FINAL_02.04.2022_CLEAN.docx	Form and Instruction
0920-0572 GenIC - Health Message Testing System Expedited Review Form_Health Equity Message Testing Protocol 7392.docx GenIC Expedited Review Form	IC Document

IC Title:

Health Equity Message Testing

Agency IC Tracking Number:

0920-0572-22EG

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0572				Yes	Yes	Fillable Fileable
Form and Instruction	0920-0572				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 71

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	71	71
Annual IC Time Burden (Hours)	99	99
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Expedited Review Form		04/18/2022

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

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