Information Collection Request

Assessment for the Be Antibiotics Aware Consumer Campaign

ICR 202210-0920-006 · OMB 0920-1387 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-22CC BAA HCP Post-Campaign web survey Form and Instruction New Repair queued
Form 0920-22CC BAA HCP Pre-Campaign web survey Form and Instruction New Repair queued
Form 0920-22CC BAA Consumer Post-Campaign web survey Form and Instruction New Repair queued
Form 0920-22CC BAA Consumer Pre-Campaign web survey Form and Instruction New Missing upstream
Attachment G1_011620VI-NR-signed.pdf Supplementary Document Uploaded 2022-10-18 Repair queued
Attachment G2_011520VI-NR-signed.pdf Supplementary Document Uploaded 2022-10-18 Repair queued
Attachment H_BAA Recruitment Invitation.docx Supplementary Document Uploaded 2022-10-18 Repair queued
Attachment I_BAA Informed consent form.docx Supplementary Document Uploaded 2022-10-18 Repair queued
Attachment J_BAA Reminder email.docx Supplementary Document Uploaded 2022-10-18 Repair queued
BAA Pilot Assessment Partner Intervention Plan_09.13.22_FINAL.docx Supplementary Document Uploaded 2022-10-18 Repair queued
Attachment A_Authorization Legislation.docx Supplementary Document Uploaded 2022-10-17 Repair queued
Supporting Statement B_BAA.docx Supporting Statement B Uploaded 2022-10-17 Repair queued
Supporting Statement A_BAA.docx Supporting Statement A Uploaded 2022-10-17 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
256482 BAA HCP Post-Campaign web survey Form and Instruction New
256481 BAA HCP Pre-Campaign web survey Form and Instruction New
256480 BAA Consumer Post-Campaign web survey Form and Instruction New
256479 BAA Consumer Pre-Campaign web survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
2,522 0
842 0
0 0





table that charts list of burden
  Total Request 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 2,522 0 0 2,522 0 0
Annual Time Burden (Hours) 842 0 0 842 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No