Information Collection

WHA Citizen Science Challenge Application 2022

IC 236679 under ICR 202202-0990-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
1 WHA Citizen Science Challenge Application 2022 WHA Citizen Science Challenge Application 2022-02-14.docx	Form and Instruction
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
0990-0390 HHS Challenge ICR _NIEHS WHA Citizen Science Challenge Application.docx 0990-0390 HHS Challenge ICR_NIEHS WHA Citizen Science Challenge	IC Document
PackenhamJ22_1593 WHA Citizen Science Flyer v07.pdf WHA Citizen Science Challenge Flyer	IC Document
APPLY NOW! Middle School Climate Change in Your Community Environmental Health Challenge Email.pdf email invitation	IC Document

IC Title:

WHA Citizen Science Challenge Application 2022

Agency IC Tracking Number:

IC Status: Modified

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 and Instruction	1	WHA Citizen Science Challenge Application 2022	WHA Citizen Science Challenge Application 2022-02-14.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

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
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	60	-1,940	2,000
Annual IC Time Burden (Hours)	10	-323	333
Annual IC Cost Burden (Dollars)	0	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
0990-0390 HHS Challenge ICR_NIEHS WHA Citizen Science Challenge	0990-0390 HHS Challenge ICR _NIEHS WHA Citizen Science Challenge Application.docx	02/22/2022
WHA Citizen Science Challenge Flyer	PackenhamJ22_1593 WHA Citizen Science Flyer v07.pdf	02/22/2022
email invitation	APPLY NOW! Middle School Climate Change in Your Community Environmental Health Challenge Email.pdf	02/22/2022

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