Information Collection

[OADC] One Health Office Healthy Pets, Healthy People Message Testing

IC 257420 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⚠️ Notice: This information collection may be referencing outdated material.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
Att 3-Screener Survey.docx	Other-WORD
Att 2-Recruitment Letter.docx Recruitment Letter	IC Document
Background.docx Healthy Pets, Healthy People Message Testing Background	IC Document
HMTS Expedited Review Form 11.15.22_HPHP Message Testing FINAL.pdf HMTS Expedited Review Form	IC Document
Human Subjects Determination.pdf Human Subjects Determination	IC Document
Att 1-Moderator Guide.docx Moderator Guide	IC Document

IC Title:

[OADC] One Health Office Healthy Pets, Healthy People Message Testing

Agency IC Tracking Number:

0920-0572-23BR

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
Other-WORD					No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	90	90
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Recruitment Letter		12/16/2022
Healthy Pets, Healthy People Message Testing Background		12/16/2022
HMTS Expedited Review Form		01/20/2023
Human Subjects Determination		12/16/2022
Moderator Guide		01/20/2023

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

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