Information Collection

[OADC] Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing

IC 267348 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⚠️ Notice: This information collection may be referencing outdated material.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 Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing _ Screener (24FF) [OADC] Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing	Form and Instruction
Form 0920-0572 Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing _ Interview Guide (24FF) [OADC] Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing	Form and Instruction
Form 0920-0572 Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing _ Small Group Discussion Guide (24FF) [OADC] Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing	Form and Instruction
0920-0572 Division of Nutrition, Physical Activity, and Obesity Qu ATTACHMENT_B_Screener_DNPAO_Message_Testing_030724 (rev 050824) [CLEAN].docx	Form and Instruction
0920-0572 Division of Nutrition, Physical Activity, and Obesity Qu ATTACHMENT_C_Interv_Guide_DNPAO_Message_Testing_030724.docx	Form and Instruction
0920-0572 Division of Nutrition, Physical Activity, and Obesity Qu ATTACHMENT_D_Disc_Guide_DNPAO_Message_Testing_030724.docx	Form and Instruction
HMTS_Form_DNPAO_Message_Testing_030724.docx Health Message Testing System (HMTS)_DNPAO Expedited Review Form (24FF)	IC Document
ATTACHMENT_A_Supplement_DNPAO_Message_Testing_030724.docx List of Attachments to HMTS Expedited Review Form (24FF)	IC Document
ATTACHMENT_E_Materials_DNPAO_Message_Testing_030724.docx Messages and materials to be tested & Screenshots (24FF)	IC Document
ATTACHMENT_F_Non-Research_Determination_Letter_030724.docx Human Subjects Research Determination (24FF)	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[OADC] Division of Nutrition, Physical Activity, and Obesity Qualitative Message and Materials Testing

Agency IC Tracking Number:

0920-0572-24FF

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form and Instruction	0920-0572	No	Paper Only
Form and Instruction	0920-0572	No	Paper Only
Form and Instruction	0920-0572	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

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	400	400
Annual IC Time Burden (Hours)	675	675
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Health Message Testing System (HMTS)_DNPAO Expedited Review Form (24FF)		04/30/2024
List of Attachments to HMTS Expedited Review Form (24FF)		04/30/2024
Messages and materials to be tested & Screenshots (24FF)		04/30/2024
Human Subjects Research Determination (24FF)		04/30/2024

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

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