Information Collection Request

Focus Group Testing to Effectively Plan and Tailor Cancer Prevention and Control Communication Campaigns

ICR 202202-0920-004 · OMB 0920-0800 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-0800 Focus Group Screener Form and Instruction New Repair queued
Form 0920-23GT Attachment 5B. CDC BYB FG Discussion Guide_Spanish_v6 Form and Instruction New Available
Form 0920-23GT Attachment 2B. CDC BYB FG Screener_Spanish_v4 Form and Instruction New Available
Form 0920-23GT Attachment 2A. CDC BYB FG Screener_English_v4 Form and Instruction New Available
Form 0920-23GT Attachment 5A. CDC BYB FG Discussion Guide_English_v6 Form and Instruction New Available
0920-0800 Attachment D Health Msgs.docx Supplementary Document Uploaded 2022-02-10 Repair queued
0920-0800 Attachment C3 Discussion Gde Example.docx Supplementary Document Uploaded 2022-02-10 Repair queued
0920-0800 Attachment A3 EARLY Act.pdf Supplementary Document Uploaded 2022-02-10 Repair queued
0920-0800 Attachment C2 Consent Form Example.docx Supplementary Document Uploaded 2022-02-10 Repair queued
0920-0800 Attachment C1 Screening Form Example.docx Supplementary Document Uploaded 2022-02-10 Repair queued
0920-0800 Privacy Narrative.pdf Supplementary Document Uploaded 2022-02-10 Repair queued
0920-0800 Attachment A2 Johanna's Law.pdf Supplementary Document Uploaded 2022-02-10 Repair queued
0920-0800 Attachment A1 Public Health Service Act.pdf Supplementary Document Uploaded 2022-02-10 Repair queued
0920-0800 PIA form - Focus group Testing - CAllen edits_3.pdf Supplementary Document Uploaded 2018-08-14 Repair queued
Appendix E_Example Questions Discussion Guide_reinstatement.doc Supplementary Document Uploaded 2018-08-14 Repair queued
Appendix D_Example Consent Form_2017 reinstatment.doc Supplementary Document Uploaded 2018-08-14 Repair queued
Appendix C_Example Questions for Focus Group Screening_reinstatement v4.doc Supplementary Document Uploaded 2018-08-14 Repair queued
Appendix B_60-day Federal Register Notice.pdf Supplementary Document Uploaded 2018-08-14 Repair queued
Appendix A2_Public Health Service Act_Johannas Law.pdf Supplementary Document Uploaded 2018-08-14 Repair queued
Appendix A1_Public Health Service Act.pdf Supplementary Document Uploaded 2018-08-14 Repair queued
0920-0800 Supporting Statement B-Edit.docx Supporting Statement B Uploaded 2022-02-10 Repair queued
0920-0800 Supporting Statement A-EDIT Thomas (004).docx Supporting Statement A Uploaded 2022-02-10 Repair queued

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2025 36 Months From Approved
2,400 0 0
1,680 0 0
45,478 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
[NCCDPHP] Focus Group Testing to Effectively Plan and Tailor a Cancer Prevention and Control Communication Campaign (Bring your Brave) 0920-23GT, 0920-23GT, 0920-23GT, 0920-23GT ,   ,   ,  
[NCCDPHP]: Focus Group Testing to Effectively Plan and Tailor a CP&C Communication Campaign (Bring your Brave) 0920-0800

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 2,400 0 0 -4,800 0 7,200
Annual Time Burden (Hours) 1,680 0 0 -3,360 0 5,040
Annual Cost Burden (Dollars) 45,478 0 0 -46,472 0 91,950


Reginfo record details
  No