OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

2012 Healthy New Year Video Contest Submission Form

IC 200729 under ICR 201201-0990-002 · OMB 0990-0386.

Documents and Forms
Document Name
Document Type
Other-instrument
IC Document
Information Collection (IC) Details

View Information Collection (IC)

2012 Healthy New Year Video Contest Submission Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-instrument 0990-Emergency_2012 Healthy New Year Video Challenge_Contest_Submission Form__010811[1].doc No No Fillable Printable

Health Illness Prevention

 

300 0
   
Individuals or Households
 
   0 %

  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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Emergency Justification letter 0990-Healthy New Year Challenge_OMB01092012_Emergency Justification Letter[1].doc 01/10/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.