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Information Collection

Message Evaluation for CDC's Stop Overdose Campaigns (Broadcast Radio & Digital Ad Surveys)

IC 263672 under ICR 202507-0920-005 · OMB 0920-1154.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Other-Screenshots - Broadcast Radio
Other-Screenshots - Broadcast Radio
Other-Screenshots - Digital Ad
Other-Screenshots - Digital Ad
Instruction
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Message Evaluation for CDC's Stop Overdose Campaigns (Broadcast Radio & Digital Ad Surveys) 0920-1154-24BH
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 Stop Overdose Campaign Evaluation: Fentanyl and Naloxone Campaigns Survey - Broadcast Radio Attachment 1 - Survey Instrument -Broadcast radio.docx Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Stop Overdose Campaign Evaluation: Fentanyl and Naloxone Campaigns Survey - Digital Ad Attachment 2 - Survey Instrument -Digital Ad.docx Yes Yes Fillable Fileable
Other-Screenshots - Broadcast Radio Attachment 3 - Broadcast Radio Screenshots.docx No   Paper Only
Other-Screenshots - Digital Ad Attachment 4 - Digital Ad Survey Screenshots.docx No   Printable Only
Instruction Attachment 5 - Recruitment Materials.docx No   Printable Only

Health Public Health Monitoring

 

1,750 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,750 0 0 0 0 1,750
Annual IC Time Burden (Hours) 379 0 0 0 0 379
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA SSA_11.27.23.docx 11/27/2023
SSB Supporting Statement B.docx 11/27/2023
Privacy Act Determination Attachment 6 Privacy Act-Determination.pdf 11/27/2023
IRB Determination Attachment 7. IRB Determination Letter.pdf 11/27/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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