[NCCDPHP] Message Testing for Tobacco Communication Activities

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0910 Online Questionnaire for Rough Cut Testing of Television Advertisements REVISED 27MAR2025	Form and Instruction	Modified	Available
Form 0920-0910 Onlline Questionnaire	Form and Instruction	Modified	Available
Form 0920-0910 Onlline Recruitment Screener	Form and Instruction	Modified	Available
Form 0920-0910 [NCCDPHP] National Tobacco Education Campaign Rough-Cut Testing of Television Advertisements - Cycle 3	Form and Instruction	Modified	Repair queued
Change Request Memo EO14168_Rough-Cut Testing Cyle 3_ 20250319.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-26	Available
Change Request Memo EO14168_Rough-Cut Testing Cyle 3_ 20250319.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-26	Available
Non-Substantive Change Request_Rough cut testing in Spanish_20240815.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-09-23	Available
Non-Substantive Change Request_Rough cut testing in Spanish_20240815.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-09-23	Repair queued
Att 3b. Online Main Questionnaire_Rough Cut Testing_Spanish_20240807.docx	Supplementary Document	Uploaded 2024-09-23	Available
Att 3b. Online Main Questionnaire_Rough Cut Testing_Spanish_20240807.docx	Supplementary Document	Uploaded 2024-09-23	Repair queued
Att 3a Online Main Questionnaire_Rough Cut Testing_English_20240801.docx	Supplementary Document	Uploaded 2024-09-23	Available
Att 3a Online Main Questionnaire_Rough Cut Testing_English_20240801.docx	Supplementary Document	Uploaded 2024-09-23	Repair queued
Att 2b. Online Questionnaire Recruitment Screener_Rough Cut Testing_Spanish_20240807.docx	Supplementary Document	Uploaded 2024-09-23	Repair queued
Att 2b. Online Questionnaire Recruitment Screener_Rough Cut Testing_Spanish_20240807.docx	Supplementary Document	Uploaded 2024-09-23	Available
Att 2a Online Questionnaire Recruitment Screener_Rough Cut Testing_English_20240801.docx	Supplementary Document	Uploaded 2024-09-23	Repair queued
Att 2a Online Questionnaire Recruitment Screener_Rough Cut Testing_English_20240801.docx	Supplementary Document	Uploaded 2024-09-23	Missing upstream
Att 1b. Invitation and follow up_Rough Cut Testing_Spanish_20240807.docx	Supplementary Document	Uploaded 2024-09-23	Available
Att 1b. Invitation and follow up_Rough Cut Testing_Spanish_20240807.docx	Supplementary Document	Uploaded 2024-09-23	Repair queued
Att 1a. Invitation and Follow up_Rough Cut Testing_ English_20240805.docx	Supplementary Document	Uploaded 2024-09-23	Repair queued
Att 1a. Invitation and Follow up_Rough Cut Testing_ English_20240805.docx	Supplementary Document	Uploaded 2024-09-23	Repair queued
Att. 7 Example Reminder Invitations.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 7 Example Reminder Invitations.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 6 Toluna Privacy Policy.docx	Supplementary Document	Uploaded 2023-07-28	Available
Att. 6 Toluna Privacy Policy.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 5 Example Informed Consent Form.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 5 Example Informed Consent Form.docx	Supplementary Document	Uploaded 2023-07-28	Available
Att. 4 Example Institutional Review Board Approval Letter.pdf	Supplementary Document	Uploaded 2023-07-28	Available
Att. 4 Example Institutional Review Board Approval Letter.pdf	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3n - ETP 0910 Att 6 Survey Questionnaire.docx	Supplementary Document	Uploaded 2023-07-28	Available
Att. 3n - ETP 0910 Att 6 Survey Questionnaire.docx	Supplementary Document	Uploaded 2023-07-28	Missing upstream
Att. 3m - ETP Attachment 9 Survey Questionnaire Eligibility Screener (9.24.21).docx	Supplementary Document	Uploaded 2023-07-28	Available
Att. 3m - ETP Attachment 9 Survey Questionnaire Eligibility Screener (9.24.21).docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3l - ETP 0910 Att 5 Focus Group Mod Guide.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3l - ETP 0910 Att 5 Focus Group Mod Guide.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3k - ETP Attachment 1 Focus Group Recruitment Screener (9.28.21).docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3k - ETP Attachment 1 Focus Group Recruitment Screener (9.28.21).docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3j - Moderator's Guide For Adults Who Smoke Cigarettes and Use E-cigarettes.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3j - Moderator's Guide For Adults Who Smoke Cigarettes and Use E-cigarettes.docx	Supplementary Document	Uploaded 2023-07-28	Available
Att. 3i - Moderator's guide for in-depth interviews with adults who smoke.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3i - Moderator's guide for in-depth interviews with adults who smoke.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3h - 0910 Msg Platform Test Svy FINAL.pdf	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3h - 0910 Msg Platform Test Svy FINAL.pdf	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3g - 0910 Msg Platform Test Screen FINAL.pdf	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3g - 0910 Msg Platform Test Screen FINAL.pdf	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3f - Creative concepts testing moderator's guide.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3f - Creative concepts testing moderator's guide.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3e - Creative Concept Testing Focus Group Screener.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3e - Creative Concept Testing Focus Group Screener.docx	Supplementary Document	Uploaded 2023-07-28	Missing upstream
Att. 3c - Creative concepts testing screener.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3c - Creative concepts testing screener.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3b - Screenshots Rough-Cut Testing Survey.pdf	Supplementary Document	Uploaded 2023-07-28	Available
Att. 3b - Screenshots Rough-Cut Testing Survey.pdf	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3a - Screenshots Rough-Cut Testing Screener.pdf	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3a - Screenshots Rough-Cut Testing Screener.pdf	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3 - Overview of proposed data collections.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 3 - Overview of proposed data collections.docx	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 1 Public Health Service Act.pdf	Supplementary Document	Uploaded 2023-07-28	Repair queued
Att. 1 Public Health Service Act.pdf	Supplementary Document	Uploaded 2023-07-28	Repair queued
0910 Privacy Narrative FINAL.pdf	Supplementary Document	Uploaded 2023-07-28	Available
0910 Privacy Narrative FINAL.pdf	Supplementary Document	Uploaded 2023-07-28	Repair queued
Supporting Statement B_MTTCA.docx	Supporting Statement B	Uploaded 2025-03-31	Available
Supporting Statement B_MTTCA.docx	Supporting Statement B	Uploaded 2023-07-28	Available
Support-Statement-A_MTTCA.docx	Supporting Statement A	Uploaded 2025-03-31	Available
Support-Statement-A_MTTCA.docx	Supporting Statement A	Uploaded 2023-07-28	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
272205	[NCCDPHP] National Tobacco Education Campaign Rough-Cut Testing of Television Advertisements - Cycle 3	Form and Instruction	Modified	Online Questionnaire for Rough Cut Testing of Television Advertisements REVISED 27MAR2025
272205	[NCCDPHP] National Tobacco Education Campaign Rough-Cut Testing of Television Advertisements - Cycle 3	Form and Instruction	Modified	Onlline Questionnaire
272205	[NCCDPHP] National Tobacco Education Campaign Rough-Cut Testing of Television Advertisements - Cycle 3	Form and Instruction	Modified	Onlline Recruitment Screener
272205	[NCCDPHP] National Tobacco Education Campaign Rough-Cut Testing of Television Advertisements - Cycle 3	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0910	ICR Reference No: 202503-0920-031
Status: Historical Inactive	Previous ICR Reference No: 202409-0920-018
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0910-25-0066
Title: [NCCDPHP] Message Testing for Tobacco Communication Activities
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Disapproved and continue	Conclusion Date: 06/06/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/28/2025
Terms of Clearance: Attachments 3a, 3b, 3h, 3k, and 3m are noncompliant with EO 14168. Please revise and resubmit.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2026	09/30/2026	09/30/2026
Responses	446,316	0	446,316
Time Burden (Hours)	60,117	0	60,117
Cost Burden (Dollars)	0	0	0

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Abstract: In 2012, CDC/OSH obtained OMB approval of a generic clearance to support the development of tobacco-related health messages (Message Testing for Tobacco Communication Activities (MTTCA), OMB No. 0920-0910). The MTTCA clearance has been used to obtain OMB approval for a variety of message testing activities. CDC is requesting OMB approval to extend the generic MTTCA clearance for three years. CDC will continue to use the MTTCA clearance to develop and test messages and materials for current and future phases of the ACA-funded media campaign, as well as OSH's ongoing programmatic initiatives including, but not limited to, the Media Campaign Resource Center, reports from the Office of the Surgeon General, and other communication efforts and materials. The MTTCA generic clearance may also be used to facilitate the development of tobacco-related health communications of interest for CDC collaborative efforts with other federal partners including, but not limited to, the Food and Drug Administration, the Substance Abuse and Mental Health Services Administration, the National Institutes of Health, and the National Cancer Institute. The MTTCA clearance is sufficient to test tobacco related messages developed by CDC. No modification is requested for information collection activities or methodology. Non-Subsantive Change Request is submitted to modify questions in previously approved GenIC for compliance with recently issued EOs. There is no change to burden hours.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
   PL: Pub.L. 111 - 148 399-V Name of Law: Patient Protection and Affordable Care Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 3992	01/23/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 47143	07/21/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
[NCCDPHP] National Tobacco Education Campaign Rough-Cut Testing of Television Advertisements - Cycle 3	0920-0910, 0920-0910, 0920-0910	Onlline Recruitment Screener ,   Onlline Questionnaire ,   Online Questionnaire for Rough Cut Testing of Television Advertisements REVISED 27MAR2025

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The distribution of CDC’s needs for information collection through screening, surveys, interviews, and focus groups may change over time. The estimated revision is for approval for 60,117 burden hours for three years of approval.

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Annual Cost to Federal Government: $36,217

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/28/2025

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