Information Collection

[NCCDPHP]: Focus Group Testing to Effectively Plan and Tailor a CP&C Communication Campaign (Bring your Brave)

IC 269041 under ICR 202202-0920-004 · OMB 0920-0800.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0800 Focus Group Screener [NCCDPHP]: Focus Group Testing to Effectively Plan and Tailor a CP&C Communication Campaign (Bring your Brave)	Form and Instruction
Attachment 2_ Focus Group Consent Form.docx	Instruction
Attachment 3_ Participant Information Slide Deck.pptx	Instruction
Attachment 4_ Focus Group Discussion Guide.docx	Instruction
Attachment 5_ Materials for Testing-2.pdf	Instruction
0920-0800 Focus Group Screener Attachment 1_ Focus Group Screener.docx	Form and Instruction
Supporting Statement A.docx SSA (24HA)	IC Document
Supporting Statement B.docx SSB (24HA)	IC Document
Attachment 6_ Section 301 of Public Health Services Act.docx Authorizing Legislation	IC Document

IC Title:

Agency IC Tracking Number:

0920-0800-24HA

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0800	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Printable Only
Instruction		Yes	Yes	Printable Only
Instruction		No		Printable Only
Instruction		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 192

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	192	192
Annual IC Time Burden (Hours)	176	176
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].