Information Collection

Chairman's Award

IC 196931 under ICR 201011-3041-002 · OMB 3041-0151.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0151 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0 Chairman's Award	Form and Instruction
New_Chairman Commendaiton Circle Award Program brochure.pdf www.cpsc.gov/CPSCPUB/BIOS/chairman/awardflyer.pdf	Other-Informational Brochure
MNew_Chairmans Commendation Circle Award FAQs.pdf www.cpsc.gov/cpscpub/bios/chairman/awardfaq.html	Instruction
0 Chairman's Commendastion Circle Award Nomination Form New_Chairman Commendation Circle Award Nomination Form.pdf www.cpsc.gov/CPSCPUB/BIOS/chairman/award.pdf	Form and Instruction

IC Title:

Chairman's Award

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0	Chairman's Commendastion Circle Award Nomination Form	New_Chairman Commendation Circle Award Nomination Form.pdf	http://www.cpsc.gov/CPSCPUB/BIOS/chairman/award.pdf	Yes	Yes	Printable Only
Other-Informational Brochure			New_Chairman Commendaiton Circle Award Program brochure.pdf	http://www.cpsc.gov/CPSCPUB/BIOS/chairman/awardflyer.pdf	Yes	Yes	Printable Only
Instruction			MNew_Chairmans Commendation Circle Award FAQs.pdf	http://www.cpsc.gov/cpscpub/bios/chairman/awardfaq.html	Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	1,188	1,188

Documents for IC

table that charts IC Documents
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.