Information Collection

[NCIPC] Formative Research for Firearm Violence and Community Violence Messaging

IC 263776 under ICR 202507-0920-005 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
[NCIPC] Formative Research for Firearm Violence and Community Violence Messaging	Form and Instruction
Firearm Injury and Death Survey and Consent [NCIPC] Formative Research for Firearm Violence and Community Violence Messaging	Form and Instruction
Firearm Injury and Death Focus Group [NCIPC] Formative Research for Firearm Violence and Community Violence Messaging	Form and Instruction
Firearm Injury and Death Focus Group Screening [NCIPC] Formative Research for Firearm Violence and Community Violence Messaging	Form and Instruction
Community Violence Survey and Consent [NCIPC] Formative Research for Firearm Violence and Community Violence Messaging	Form and Instruction
Community Violence Focus Group [NCIPC] Formative Research for Firearm Violence and Community Violence Messaging	Form and Instruction
Community Violence Focus Group Screening [NCIPC] Formative Research for Firearm Violence and Community Violence Messaging	Form and Instruction
Firearm Injury and Death Survey and Consent Att 1. FA Survey and Consent.docx	Form and Instruction
Firearm Injury and Death Survey and Consent Att 1. FA Survey and Consent.docx	Form and Instruction
Firearm Injury and Death Focus Group Att 2. FA FGD Guide and Consent.docx	Form and Instruction
Firearm Injury and Death Focus Group Att 2. FA FGD Guide and Consent.docx	Form and Instruction
Firearm Injury and Death Focus Group Screening Att 3. FA FGD Screening Form.docx	Form and Instruction
Firearm Injury and Death Focus Group Screening Att 3. FA FGD Screening Form.docx	Form and Instruction
Community Violence Survey and Consent Att 6. CV Survey and Consent.docx	Form and Instruction
Community Violence Survey and Consent Att 6. CV Survey and Consent.docx	Form and Instruction
Community Violence Focus Group Att 7. CV FGD Guide and Consent.docx	Form and Instruction
Community Violence Focus Group Att 7. CV FGD Guide and Consent.docx	Form and Instruction
Community Violence Focus Group Screening Att 8. CV FGD Screening Form.docx	Form and Instruction
Community Violence Focus Group Screening Att 8. CV FGD Screening Form.docx	Form and Instruction
Att 4. FA I&D Messages for Testing.docx Firearm Messages for Testing	IC Document
Att 4. FA I&D Messages for Testing.docx Firearm Messages for Testing	IC Document
Att 5. FA Images for Testing.docx Firearm Images for Testing	IC Document
Att 5. FA Images for Testing.docx Firearm Images for Testing	IC Document
Att 9. CV Messages for Testing.docx Community Violence Messages for Testing	IC Document
Att 9. CV Messages for Testing.docx Community Violence Messages for Testing	IC Document
Att 10. CV Images for Testing.docx Community Violence Images for Testing	IC Document
Att 10. CV Images for Testing.docx Community Violence Images for Testing	IC Document
Att 11_ Firearm Violence and Community Violence Messaging-OMB-PII-Privacy Act-Determination.pdf PIA	IC Document
Att 11_ Firearm Violence and Community Violence Messaging-OMB-PII-Privacy Act-Determination.pdf PIA	IC Document
Att 12_FA Message STARS Determination_Final.docx Firearm Research Determination	IC Document
Att 12_FA Message STARS Determination_Final.docx Firearm Research Determination	IC Document
FINAL CV project determination.pdf Community Violence Research Determination	IC Document
FINAL CV project determination.pdf Community Violence Research Determination	IC Document
Supporting Statement A (0920-1154) FA and CV_updated (003)_final.docx SSA	IC Document
Supporting Statement A (0920-1154) FA and CV_updated (003)_final.docx SSA	IC Document
Supporting Statement B (0920-1154) FA and CV.docx SSB	IC Document
Supporting Statement B (0920-1154) FA and CV.docx SSB	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCIPC] Formative Research for Firearm Violence and Community Violence Messaging

Agency IC Tracking Number:

0920-1154-24BL

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,344

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,344	1,344
Annual IC Time Burden (Hours)	402	402
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Firearm Messages for Testing		12/04/2023
Firearm Images for Testing		12/04/2023
Community Violence Messages for Testing		12/04/2023
Community Violence Images for Testing		12/04/2023
PIA		12/04/2023
Firearm Research Determination		12/04/2023
Community Violence Research Determination		12/04/2023
SSA		12/04/2023
SSB		12/04/2023

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

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