OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

[NCCDPHP] Focus Group Testing to Effectively Plan and Tailor a Cancer Prevention and Control Communication Campaign (Bring your Brave)

IC 261061 under ICR 202202-0920-004 · OMB 0920-0800.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 0920-23GT
[NCCDPHP] Focus Group Testing to Effectively Plan and Tailor a Cancer Prevention and Control Communication Campaign (Bring your Brave)		 Form and Instruction
0920-23GT Attachment 5A. CDC BYB FG Discussion Guide_English_v6
Attachment 5A. CDC BYB FG Discussion Guide_English_v6.docx 		Form and Instruction
0920-23GT Attachment 2A. CDC BYB FG Screener_English_v4
Attachment 2A. CDC BYB FG Screener_English_v4.docx 		Form and Instruction
0920-23GT Attachment 2B. CDC BYB FG Screener_Spanish_v4
Attachment 2B. CDC BYB FG Screener_Spanish_v4.docx 		Form and Instruction
0920-23GT Attachment 5B. CDC BYB FG Discussion Guide_Spanish_v6
Attachment 5B. CDC BYB FG Discussion Guide_Spanish_v6.docx 		Form and Instruction
Attachment 1. Legislative Authority - EARLY Act Reauthorization.pdf
Attachment 1. Legislative Authority - EARLY Act Reauthorization		IC Document
Attachment 3A. CDC BYB FG Emails_English_v3.docx
Attachment 3A. CDC BYB FG Emails_English_v3		IC Document
Attachment 3B. CDC BYB FG Emails_Spanish_v3.docx
Attachment 3B. CDC BYB FG Emails_Spanish_v3		IC Document
Attachment 4A. CDC BYB FG Informed Consent_English_v3.docx
Attachment 4A. CDC BYB FG Informed Consent_English_v3		IC Document
Attachment 4B. CDC BYB FG Informed Consent_Spanish_v3.docx
Attachment 4B. CDC BYB FG Informed Consent_Spanish_v3		IC Document
Supporting Statement Part A_v3 4-28-23.docx
Supporting Statement Part A_v3 4-28-23		IC Document
Supporting Statement Part B_v3 4-28-23.docx
Supporting Statement Part B_v3 4-28-23		IC Document
Supporting Statement Part A_v3 4-28-23_OIRA 7.14.23_Clean.docx
Supporting Statement A_v4		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 0920-23GT Attachment 5A. CDC BYB FG Discussion Guide_English_v6 Attachment 5A. CDC BYB FG Discussion Guide_English_v6.docx Yes Yes Fillable Fileable
Form and Instruction 0920-23GT Attachment 2A. CDC BYB FG Screener_English_v4 Attachment 2A. CDC BYB FG Screener_English_v4.docx Yes Yes Fillable Fileable
Form and Instruction 0920-23GT Attachment 2B. CDC BYB FG Screener_Spanish_v4 Attachment 2B. CDC BYB FG Screener_Spanish_v4.docx Yes Yes Fillable Fileable
Form and Instruction 0920-23GT Attachment 5B. CDC BYB FG Discussion Guide_Spanish_v6 Attachment 5B. CDC BYB FG Discussion Guide_Spanish_v6.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 220 0 220 0 0 0
Annual IC Time Burden (Hours) 117 0 117 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Attachment 1. Legislative Authority - EARLY Act Reauthorization Attachment 1. Legislative Authority - EARLY Act Reauthorization.pdf 07/13/2023
Attachment 3A. CDC BYB FG Emails_English_v3 Attachment 3A. CDC BYB FG Emails_English_v3.docx 07/13/2023
Attachment 3B. CDC BYB FG Emails_Spanish_v3 Attachment 3B. CDC BYB FG Emails_Spanish_v3.docx 07/13/2023
Attachment 4A. CDC BYB FG Informed Consent_English_v3 Attachment 4A. CDC BYB FG Informed Consent_English_v3.docx 07/13/2023
Attachment 4B. CDC BYB FG Informed Consent_Spanish_v3 Attachment 4B. CDC BYB FG Informed Consent_Spanish_v3.docx 07/13/2023
Supporting Statement Part A_v3 4-28-23 Supporting Statement Part A_v3 4-28-23.docx 07/13/2023
Supporting Statement Part B_v3 4-28-23 Supporting Statement Part B_v3 4-28-23.docx 07/13/2023
Supporting Statement A_v4 Supporting Statement Part A_v3 4-28-23_OIRA 7.14.23_Clean.docx 10/25/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.