Information Collection

"Talk. They Hear You." Public Service Announcement Focus Group Protocols

IC 251292 under ICR 202306-0990-006 · OMB 0990-0459.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0459 can be found here:

2024-02-07 - No material or nonsubstantive change to a currently approved collection
2023-12-19 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form UAD TTHY_Focus Gro "Talk. They Hear You." Public Service Announcement Focus Group Protocols	Form and Instruction
Form UAD TTHY_Focus Gro "Talk. They Hear You." Public Service Announcement Focus Group Protocols	Form and Instruction
UAD TTHY_Focus Gro UAD TTHY_Focus Groups Screener 2021 OMB Package_UAD TTHY_Focus Groups Screener_Attachment B_REV 1_FINAL_012522.docx	Form and Instruction
UAD TTHY_Focus Gro UAD TTHY_Focus Groups Screener 2021 OMB Package_UAD TTHY_Focus Groups Screener_Attachment B_REV 1_FINAL_012522.docx	Form and Instruction
2021 OMB Package_UAD TTHY_Focus Groups Submission Memo_REV 1_FINAL_012522.docx 2021 OMB Package_UAD TTHY_Focus Groups Submission Memo	IC Document
2021 OMB Package_UAD TTHY_Focus Groups Submission Memo_REV 1_FINAL_012522.docx 2021 OMB Package_UAD TTHY_Focus Groups Submission Memo	IC Document
2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A_REV 1_FINAL_011322.docx 2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A	IC Document
2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A_REV 1_FINAL_011322.docx 2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A	IC Document
2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C_REV 1_FINAL_011322.docx 2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C	IC Document
2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C_REV 1_FINAL_011322.docx 2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C	IC Document
2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D_REV 1_FINAL_011322.docx 2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D	IC Document
2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D_REV 1_FINAL_011322.docx 2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

"Talk. They Hear You." Public Service Announcement Focus Group Protocols

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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	UAD TTHY_Focus Groups Screener	UAD TTHY_Focus Groups Screener	2021 OMB Package_UAD TTHY_Focus Groups Screener_Attachment B_REV 1_FINAL_012522.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: âTalk. They Hear You.â Public Service Announcement Focus Group Protocols

FR Citation: 75 FR 28264

Number of Respondents: 1,192

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,192	1,192
Annual IC Time Burden (Hours)	110	110
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2021 OMB Package_UAD TTHY_Focus Groups Submission Memo	2021 OMB Package_UAD TTHY_Focus Groups Submission Memo_REV 1_FINAL_012522.docx	01/26/2022
2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A	2021 OMB Package_UAD TTHY_Focus Groups Protocol_Attachment A_REV 1_FINAL_011322.docx	01/26/2022
2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C	2021 OMB Package_UAD TTHY_Focus Groups Consent Form_Attachment C_REV 1_FINAL_011322.docx	01/26/2022
2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D	2021 OMB Package_UAD TTHY_Focus Groups Facilitators Guide_Attachment D_REV 1_FINAL_011322.docx	01/26/2022

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