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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

IC Title:

Healthy Behavior Data Challenge

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
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 %

table that charts list of burden
	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

table that charts IC Documents
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.