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Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of the Get Yourself Tested (GYT) Campaign

ICR 201212-0920-006 · OMB 0920-0957 · Historical Active

Forms and Documents
Document
Name
Status
Form
 New
Supporting Statement B
2013-02-26
Supplementary Document
2012-12-17
Supplementary Document
2012-12-17
Supplementary Document
2012-12-17
Supplementary Document
2013-02-26
Supplementary Document
2012-12-17
Supplementary Document
2012-12-17
Supplementary Document
2012-12-17
Supporting Statement A
2013-02-26
IC Document Collections
IC ID
Document
Title
Status
205171 New
ICR Details
0920-0957 201212-0920-006
Historical Active
HHS/CDC
Evaluation of the Get Yourself Tested (GYT) Campaign
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 03/20/2013
Retrieve Notice of Action (NOA) 12/20/2012
  Inventory as of this Action Requested Previously Approved
03/31/2016 36 Months From Approved
4,000 0 0
2,000 0 0
0 0 0
This collection of information is proposed to evaluate a communication campaign that encourages youth to be tested for sexually transmitted diseases (STDs), including HIV. Encouraging youth to be tested for STD/HIV is a major goal of the Division of STD Prevention, as these diseases often show no symptoms, but cause long-term consequences. Because the topic is stigmatized and sensitive, communication campaigns involving STD/HIV are difficult to create and sustain. The GYT: Get Yourself Tested campaign has been sustained for multiple years, and there are indications that it is successful; however, the campaign needs to be formally evaluated to determine if it is effective in reaching the target population, and if its messages are understood and acted upon by the target audience. We propose to do this using an established market-research panel (Knowledge Networks) as the study population, selecting 4,000 participants ages 25 and under. Participants have already consented to participate in survey research for the market-research panel; this survey will be included as part of their annual participation in the firm's survey research.
US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  77 FR 50694 08/22/2012
77 FR 75167 12/19/2012
Yes
1
IC Title Form No. Form Name
GYT: Get Yourself Tested none GYT: Get Yourself Tested Instrument
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,000 0 0 4,000 0 0
Annual Time Burden (Hours) 2,000 0 0 2,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.
$254,844
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Tony Richardson 404 639-4965 lmr7@cdc.gov
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
12/20/2012