OMB control number

ASPA COVID-19 Public Education Campaign Evaluation Surveys

OMB 0990-0475 · HHS/HHSDM.

OMB 0990-0475

The Office of the Assistant Secretary for Public Affairs (ASPA) is collecting information through the COVID-19 Attitudes and Beliefs Survey (CABS) and Monthly Outcome Survey (MOS) to evaluate the impact of the HHS COVID-19 Public Education Campaign. Throughout the duration of the campaign, this information will primarily be used by ASPA to determine whether the campaign is having the intended impact on target audiences’ knowledge, attitudes, and beliefs as they relate to COVID-19 and targeted preventative behaviors. This will inform an evaluation of the efficacy of the Campaign subsequent changes to Campaign messaging or strategy. The information will also be used to keep key stakeholders informed of the Campaign’s progress. At the conclusion of the Campaign, the information collected in these two outcome evaluation surveys will be used to inform a final cost-benefit analysis.

The latest form for ASPA COVID-19 Public Education Campaign Evaluation Surveys expires 2021-07-31 and is listed under ICR 202101-0990-001.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form CABS-MediaSurvey	Form and Instruction
Form Attachment C Attachment C: COVID-19 Attitudes and Beliefs Survey – Communications	Form and Instruction
Form Attachment B Attachment B: COVID-19 Attitudes and Beliefs Survey – NORC Consent Form	Form and Instruction
Form Attachment A Attachment A: COVID-19 Attitudes and Beliefs Survey (CABS) – Questionnaire	Form and Instruction
Form Attachment G Attachment G: COVID-19 Monthly Outcome Survey – Communications	Form and Instruction
Form Attachment F Attachment F: COVID-19 Monthly Outcome Survey – Consent Form	Form and Instruction
Form Attachment E Attachment E: COVID-19 Monthly Outcome Survey – Ipsos Omnibus COVID Questions	Form and Instruction
Form Attachment D Attachment D: COVID-19 Monthly Outcome Survey – Questionnaire	Form and Instruction
Justification for Nonsubstantial Change Request_CABS W8 05-09-23.docx	Justification for No Material/Nonsubstantive Change
Justification for Nonsubstantial Change Request_MOS W29, CABS W8_05-05-23.docx	Justification for No Material/Nonsubstantive Change
Justification for nonsubstantive change-MOS-Wave22.docx	Justification for No Material/Nonsubstantive Change
SS-A COVID-19 _0990-0475 Public Education Campaign Evaluation Surveys_06-03-22 (002).docx	Supporting Statement A
Justification for nonsub change MOS-Wave 11 11-18-21.docx	Justification for No Material/Nonsubstantive Change
Justification for nonsubstantive change-Wave2.docx	Justification for No Material/Nonsubstantive Change
ASPA CABS_Overview of Wave 2 Revisions_05102021.docx	Supplementary Document
ASPA COVID-19 Public Education Campaign Evaluation Surveys_OMB Emergency Justification_010421.docx	Supplementary Document
ASPA COVID-19 Public Education Campaign Evaluation Surveys_SupportingStatement Part B_1-11-22.docx	Supporting Statement B
COVID-19 Attitudes and Beliefs Survey (CABS)	Form and Instruction
COVID-19 Attitudes and Beliefs Survey (CABS)	Form and Instruction
COVID-19 Attitudes and Beliefs Survey (CABS)	Form and Instruction
COVID-19 Attitudes and Beliefs Survey (CABS)	Form and Instruction
COVID-19 Attitudes and Beliefs Survey (CABS)	Other-CABS survey-Wave2
Monthly Outcome Survey (MOS)	Form and Instruction
Monthly Outcome Survey (MOS)	Form and Instruction
Monthly Outcome Survey (MOS)	Form and Instruction
Monthly Outcome Survey (MOS)	Form and Instruction
Monthly Outcome Survey (MOS)	Other-MOS Wave11

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202305-0990-007	No material or nonsubstantive change to a currently approved collection	2023-05-09	Approved without change
202305-0990-006	No material or nonsubstantive change to a currently approved collection	2023-05-05	Approved without change
202305-0990-005	Reinstatement with change of a previously approved collection	2023-05-04	Approved without change
202210-0990-001	No material or nonsubstantive change to a currently approved collection	2022-10-13	Approved without change
202203-0990-002	Revision of a currently approved collection	2022-06-03	Approved with change
202112-0990-006	Extension without change of a currently approved collection	2022-01-13	Approved without change
202111-0990-009	No material or nonsubstantive change to a currently approved collection	2021-11-18	Approved with change
202105-0990-004	No material or nonsubstantive change to a currently approved collection	2021-05-21	Approved with change
202101-0990-001	New collection (Request for a new OMB Control Number)	2021-01-08	Approved without change

OMB Details

Monthly Outcome Survey (MOS)

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
Form	Name	Electronic access	Type
Form Attachment D	Attachment D: COVID-19 Monthly Outcome Survey – Questionnaire	Fillable Fileable	Form and instruction
Form Attachment G	Attachment G: COVID-19 Monthly Outcome Survey – Communications	Fillable Fileable	Form and instruction
Form Attachment F	Attachment F: COVID-19 Monthly Outcome Survey – Consent Form	Fillable Fileable	Form and instruction
Form Attachment E	Attachment E: COVID-19 Monthly Outcome Survey – Ipsos Omnibus COVID Questions	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.