CO Contest Supplemental Supporting Statement

SUPPLEMENTAL SUPPORTING STATEMENT FOR

THE CPSC GENERIC CLEARANCE OF

CONTESTS, CHALLENGES, AND AWARDS UNDER THE PRA

TITLE OF CONTEST: Children’s Carbon Monoxide Safety Poster Contest

[ ] VIDEO [ ] ESSAY [X] POSTER [ ] OTHER ( )

DESCRIPTION OF THIS SPECIFIC COLLECTION

1. Basic contest description:

A nationwide contest for children in grades 6, 7, and 8 to raise awareness of the dangers of carbon monoxide (CO). Children will create an original poster illustrating CO dangers.

2. Objective for the contest:

Raise awareness of CO dangers and the steps the public can take to protect against those dangers.

3. Data elements to be collected:

For the child/contestant: first and last name, grade level in school, state of residence. If the child wins a prize, CPSC will collect the child’s social security number to process payment and to prepare necessary IRS Form 1099.

For the parent/guardian: first and last name, mailing address, phone number and email address.

4. Dates for the contest:

July 14, 2014 through February 27, 2015.

5. Eligible entrants/participants:

Children in grades 6, 7, and 8.

6. Number of winners expected:

10 individual prize winners (one child can win multiple prizes).

Three prize winners in each of grade 6, 7, and 8. One prize winner chosen by a public vote on CPSC’s website. One grand prize winner chosen from the 10 finalists, including the grade level winners and the public vote winner.

7. Selection criteria for winner:

• CO safety message clarity;

• Visual appeal;

• Design originality.

8. “Prize” or planned recognition for winner:

• Three 6^th grade winners: $500.00 each.

• Three 7^th grade winners: $500.00 each.

• Three 8^th grade winners: $500.00 each.

• One winner chosen by public vote on CPSC’s website: $500.00.

• One grand prize winner chosen from among the 10 finalists: $1,000.00.

• One child can win multiple prizes, including the winner selected by public vote.

9. Other notes:

BURDEN HOUR COMPUTATION¹

Category of Respondent	No. of Respondents	Participation Time	Burden Hours
Contestants and parents/guardians	500	15 minutes	125

REQUESTED APPROVAL DATE:

NAME OF CONTACT PERSON: Monica Garcia

TELEPHONE NUMBER: (301) 504-7071

NAME OF OFFICE/PROGRAM:

1 (Number of responses) x (estimated time in minutes) / 60 = annual burden hours