Information Collection

Public and Media Activity Report Form (PAM)

IC 193278 under ICR 201606-0985-003 · OMB 0985-0040.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0040 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Public and Media Activity Report Form (PAM)	Form
2 Public and Media Events Form 02 PUBLIC AND MEDIA EVENTS (PAM) Form.rtf	Form

IC Title:

Public and Media Activity Report Form (PAM)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	2	Public and Media Events Form	02 PUBLIC AND MEDIA EVENTS (PAM) Form.rtf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,349

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	97,959	21,396	76,563
Annual IC Time Burden (Hours)	8,656	2,276	6,380
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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