2009 Flu Prevention Public Service Announcement Contest Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 2009 Flu Prevention Public Service Announcement Contest Form	Form	New	Available
Emergency OMB Application for ASAP 7.13.2009.doc	Supporting Statement A	Uploaded 2009-07-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
189892	2009 Flu Prevention Public Service Announcement Contest Form	Form	New

ICR Details

OMB Control No: 0990-0338	ICR Reference No: 200907-0990-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: 2009 Flu Prevention Public Service Announcement Contest Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 07/14/2009
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/13/2009
	Date Received in OIRA: 07/13/2009
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved. The agency is reminded that both the OMB number and the PRA statement must displayed.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	6 Months From Approved
Responses	300	0	0
Time Burden (Hours)	30	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: On June 11, 2009, the World Health Organization (WHO) declared the outbreak of the novel H1N1 flu to be a world pandemic. Last week, the Centers for Disease Control (CDC) stated that there have been more than one million cases in the United States. There have been more than 200 deaths in the United States. Health officials expect the impact of the H1N1 virus to increase this fall in conjunction with the advent of the regular seasonal flu season. It is critical that every effort be made to increase public awareness of the flu, the need to prepare for it, and steps individuals can take to minimize its spread

Emergency Justfication: The Assistant Secretary for Public Affairs, Web Communications Division (ASPA/WCD) is requesting emergency Office of Management and Budget (OMB) review and approval for a Flu Prevention Public Service Announcement (PSA) contest form. Thursday, July 9, 2009, HHS Secretary Kathleen Sebelius, at a White House organized Flu Summit, announced the Flu Prevention Public Service Announcement (PSA) Contest. The contest will run until August 17th, 2009.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: PHS 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

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
2009 Flu Prevention Public Service Announcement Contest Form	1	2009 Flu Prevention PSA Contest Form

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ICR Summary of Burden

table that charts list of burden

	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	300	0	0	300	0	0
Annual Time Burden (Hours)	30	0	0	30	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new emergency request.

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Annual Cost to Federal Government: $7,310

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

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

Is this ICR related to the Pandemic Response? Uncollected

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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: 07/13/2009

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