Information Collection

Chairman's CIrcle of Commendation Award

IC 212554 under ICR 201709-3041-001 · OMB 3041-0151.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0151 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Chairman's CIrcle of Commendation Award	Form
1 Chairmans Commendation Circle Award Nomination Form 2014_Chairmans Commendation Circle Award Nomination Form.pdf www.cpsc.gov/Media/Documents/About/Biography/Chairmans-Commendation-Circle-Award-Program/	Form
Chairmans Circle Supporting Statement 2014.doc Chairman's Circle of Commendation Award Supplemental Supporting Statement	IC Document
Chairman's Award FAQs 2014.docx 2014 Chairman's Award FAQs	IC Document
Chairman's Award Flyer 2014.docx 2014 Chairman's Award Flyer	IC Document
Chairman's Award Overview 2014.docx 2014 Chairman's Award Overview	IC Document

IC Title:

Chairman's CIrcle of Commendation Award

Agency IC Tracking Number:

IC Status: Unchanged

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
Form	1	Chairmans Commendation Circle Award Nomination Form	2014_Chairmans Commendation Circle Award Nomination Form.pdf	http://www.cpsc.gov/Media/Documents/About/Biography/Chairmans-Commendation-Circle-Award-Program/	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Chairman's Circle of Commendation Award Supplemental Supporting Statement	Chairmans Circle Supporting Statement 2014.doc	07/31/2014
2014 Chairman's Award FAQs	Chairman's Award FAQs 2014.docx	07/31/2014
2014 Chairman's Award Flyer	Chairman's Award Flyer 2014.docx	07/31/2014
2014 Chairman's Award Overview	Chairman's Award Overview 2014.docx	07/31/2014

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