Information Collection

Healthy Behavior Data Challenge

IC 226867 under ICR 201501-0990-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
CDC-Data-Challenge-Phase-1-submission-template-US.docx Other-form
0990-0390 Template for Healthy Behavior Data Challenge.docx The Healthy Behavior Data Challenge IC Document
FRN 04282017 Healthy Behavior Data Challenge.pdf FRN IC Document
Phase I Submission Requirements (from the FRN).docx Requirements IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Healthy Behavior Data Challenge	Agency IC Tracking Number:

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
Other-form			CDC-Data-Challenge-Phase-1-submission-template-US.docx		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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
The Healthy Behavior Data Challenge	0990-0390 Template for Healthy Behavior Data Challenge.docx	05/16/2017
FRN	FRN 04282017 Healthy Behavior Data Challenge.pdf	05/16/2017
Requirements	Phase I Submission Requirements (from the FRN).docx	05/16/2017

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