Information Collection

2018 CUPS/Ferguson Summer Showcase

IC 232216 under ICR 201605-0920-001 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2018 CUPS/Ferguson Summer Showcase	Form
Session 2 survey 2018 CUPS SCC -Session 2 post FINAL post clearance_ GenIC July_16.docx	Form
Session 1 survey 2018 CUPS SCC - Session 1 FINAL post Clearance_GenIC_July 16.docx	Form
Session 3 survey 2018 CUPS SCC - Session 3 FINAL post clearance_GenIC_July_16.docx	Form
CUPS GenIC_2018_ Rev docx.docx Request for Approval	IC Document

IC Title:

2018 CUPS/Ferguson Summer Showcase

Agency IC Tracking Number:

0920-1050-18ASJ

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	Available Electronically?	Electronic Capability
Form	none	Session 2 survey	2018 CUPS SCC -Session 2 post FINAL post clearance_ GenIC July_16.docx	No	Paper Only
Form	none	Session 1 survey	2018 CUPS SCC - Session 1 FINAL post Clearance_GenIC_July 16.docx	No	Paper Only
Form	none	Session 3 survey	2018 CUPS SCC - Session 3 FINAL post clearance_GenIC_July_16.docx	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 744

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	744	744
Annual IC Time Burden (Hours)	99	99
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	CUPS GenIC_2018_ Rev docx.docx	07/17/2018

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