Information Collection

Managing Meds Video Contest

IC 203659 under ICR 201111-0990-001 · OMB 0990-0390.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0390 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Managing Meds Video Contest	Form and Instruction
1 Video Meds Application Screenshot_Application_Video Contest.JPG	Form and Instruction
PRA_MANAGING MEDS_FINAL_080312.doc Mini Supporting Statement	IC Document
Federal Register Notice_Managing Meds Video Challenge_08032_FINAL.docx Challenge Federal Register Notice	IC Document

IC Title:

Managing Meds Video Contest

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	1	Video Meds Application	Screenshot_Application_Video Contest.JPG		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	100	0	0	0	0	0
Annual IC Time Burden (Hours)	17	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini Supporting Statement	PRA_MANAGING MEDS_FINAL_080312.doc	08/09/2012
Challenge Federal Register Notice	Federal Register Notice_Managing Meds Video Challenge_08032_FINAL.docx	08/09/2012

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