Information Collection Request

ASPA COVID-19 Public Education Campaign Evaluation Surveys

ICR 202305-0990-007 · OMB 0990-0475 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CABS-MediaSurvey Form and Instruction Modified Available
Form Attachment C Attachment C: COVID-19 Attitudes and Beliefs Survey – Communications Form and Instruction Modified Available
Form Attachment B Attachment B: COVID-19 Attitudes and Beliefs Survey – NORC Consent Form Form and Instruction Modified Available
Form Attachment A Attachment A: COVID-19 Attitudes and Beliefs Survey (CABS) – Questionnaire Form and Instruction Modified Available
Form Attachment G Attachment G: COVID-19 Monthly Outcome Survey – Communications Form and Instruction Unchanged Available
Form Attachment F Attachment F: COVID-19 Monthly Outcome Survey – Consent Form Form and Instruction Unchanged Repair queued
Form Attachment E Attachment E: COVID-19 Monthly Outcome Survey – Ipsos Omnibus COVID Questions Form and Instruction Unchanged Available
Form Attachment D Attachment D: COVID-19 Monthly Outcome Survey – Questionnaire Form and Instruction Unchanged Available
Justification for Nonsubstantial Change Request_CABS W8 05-09-23.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-05-09 Available
Justification for Nonsubstantial Change Request_MOS W29, CABS W8_05-05-23.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-05-05 Available
Justification for nonsubstantive change-MOS-Wave22.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-10-13 Available
SS-A COVID-19 _0990-0475 Public Education Campaign Evaluation Surveys_06-03-22 (002).docx Supporting Statement A Uploaded 2022-06-03 Available
Justification for nonsub change MOS-Wave 11 11-18-21.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-11-18 Available
Justification for nonsubstantive change-Wave2.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-05-21 Available
ASPA CABS_Overview of Wave 2 Revisions_05102021.docx Supplementary Document Uploaded 2021-05-21 Available
ASPA COVID-19 Public Education Campaign Evaluation Surveys_OMB Emergency Justification_010421.docx Supplementary Document Uploaded 2021-01-08 Available
ASPA COVID-19 Public Education Campaign Evaluation Surveys_SupportingStatement Part B_1-11-22.docx Supporting Statement B Uploaded 2022-01-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
245275 COVID-19 Attitudes and Beliefs Survey (CABS) Form and Instruction ModifiedCABS-MediaSurvey
245275 COVID-19 Attitudes and Beliefs Survey (CABS) Form and Instruction ModifiedAttachment C: COVID-19 Attitudes and Beliefs Survey – Communications
245275 COVID-19 Attitudes and Beliefs Survey (CABS) Form and Instruction ModifiedAttachment B: COVID-19 Attitudes and Beliefs Survey – NORC Consent Form
245275 COVID-19 Attitudes and Beliefs Survey (CABS) Form and Instruction ModifiedAttachment A: COVID-19 Attitudes and Beliefs Survey (CABS) – Questionnaire
245275 COVID-19 Attitudes and Beliefs Survey (CABS) Other-CABS survey-Wave2 Modified
245272 Monthly Outcome Survey (MOS) Form and Instruction UnchangedAttachment G: COVID-19 Monthly Outcome Survey – Communications
245272 Monthly Outcome Survey (MOS) Form and Instruction UnchangedAttachment F: COVID-19 Monthly Outcome Survey – Consent Form
245272 Monthly Outcome Survey (MOS) Form and Instruction UnchangedAttachment E: COVID-19 Monthly Outcome Survey – Ipsos Omnibus COVID Questions
245272 Monthly Outcome Survey (MOS) Form and Instruction UnchangedAttachment D: COVID-19 Monthly Outcome Survey – Questionnaire
245272 Monthly Outcome Survey (MOS) Other-MOS Wave11 Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2023 11/30/2023 11/30/2023
142,800 0 142,800
43,300 0 43,300
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
COVID-19 Attitudes and Beliefs Survey (CABS) Attachment A, Attachment B, Attachment C, ,   ,   ,  
Monthly Outcome Survey (MOS) Attachment E, Attachment D, Attachment G, Attachment F ,   ,   ,  

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 142,800 142,800 0 0 0 0
Annual Time Burden (Hours) 43,300 43,300 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No