Information Collection

2009 Flu Prevention Public Service Announcement Contest Form

IC 189892 under ICR 200907-0990-001 · OMB 0990-0338.

Documents and Forms

Document Name Document Type
Form 1 2009 Flu Prevention Public Service Announcement Contest Form Form
1 2009 Flu Prevention PSA Contest Form Emergency 2009 Flu Prevention PSA Contest Form 7.13.2009.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2009 Flu Prevention Public Service Announcement Contest Form	Agency IC Tracking Number:

Is this a Common Form?		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	2009 Flu Prevention PSA Contest Form	Emergency 2009 Flu Prevention PSA Contest Form 7.13.2009.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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