Information Collection

Challenge and Prize Competition Solicitations

IC 236679 under ICR 202112-0990-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
0990-0390 HHS Challenge ICR_Application .JPG	Other-application
0990-0390 HHS Challenge ICR_Application .JPG	Other-application
0990-0390 HHS Challenge ICR _Clearance Request Template_6.5.19.docx memo	IC Document
0990-0390 HHS Challenge ICR _Clearance Request Template_6.5.19.docx memo	IC Document

IC Title:

Challenge and Prize Competition Solicitations

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
Other-application			0990-0390 HHS Challenge ICR_Application .JPG		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
memo	0990-0390 HHS Challenge ICR _Clearance Request Template_6.5.19.docx	06/26/2019

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