Generic: Challenge and Competition solicitations

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0990-0390 2022 Million Hearts Hypertension Control Champions Challenge - Interview Guide	Form and Instruction	New	Repair queued
Form 0990-0390 2022 Million Hearts Hypertension Control Champions Challenge - Data Verification Form	Form and Instruction	New	Repair queued
Form 0990-0390 2022 Million Hearts Hypertension Control Champions Challenge - Application Form	Form and Instruction	New	Repair queued
Form 0990-0390 2022 REACH Lark Award Application	Form and Instruction	Unchanged	Available
Form 0990-0390 REACH Lark Galloway-Gilliam Nomination for Advancing Health Equity (REACH Lark Award)	Form and Instruction	Unchanged	Repair queued
Form 1 WHA Citizen Science Challenge Application 2022	Form and Instruction	Unchanged	Available
Form 1 WHA Citizen Science Challenge Application 2022	Form and Instruction	Unchanged	Repair queued
Change Request_addition of BH 02MAY2022.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-05-02	Repair queued
Change Request for 0990-0390.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-02-17	Repair queued
Change Request Memo 0990-0390.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-12-08	Repair queued
0990-0390 HHS Challenge ICR _Clearance Request Template_6_26_19.docx	Supplementary Document	Uploaded 2019-06-26	Repair queued
0990-0390 HHS Challenge ICR _30-Day FRN_6.5.19.docx	Supplementary Document	Uploaded 2019-06-26	Repair queued
SUBMISSION OF INFORMATION COLLECTION AND Template Revised.docx	Supplementary Document	Uploaded 2012-02-24	Repair queued
Federal Register Guidance for COMPETES rev 022312.docx	Supplementary Document	Uploaded 2012-02-24	Repair queued
0990-0390 HHS Challenge ICR_SS Section A_031820OMB-Clean.docx	Supporting Statement A	Uploaded 2020-04-07	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
253355	2022 Million Hearts Hypertension Control Champions Challenge	Form and Instruction	New	2022 Million Hearts Hypertension Control Champions Challenge - Interview Guide
253355	2022 Million Hearts Hypertension Control Champions Challenge	Form and Instruction	New	2022 Million Hearts Hypertension Control Champions Challenge - Data Verification Form
253355	2022 Million Hearts Hypertension Control Champions Challenge	Form and Instruction	New	2022 Million Hearts Hypertension Control Champions Challenge - Application Form
250818	REACH Lark Galloway-Gilliam Nomination for Advancing Health Equity (REACH Lark Award)	Form and Instruction	Unchanged	2022 REACH Lark Award Application
250818	REACH Lark Galloway-Gilliam Nomination for Advancing Health Equity (REACH Lark Award)	Form and Instruction	Unchanged
236679	WHA Citizen Science Challenge Application 2022	Form and Instruction	Unchanged	WHA Citizen Science Challenge Application 2022
236679	WHA Citizen Science Challenge Application 2022	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0990-0390	ICR Reference No: 202205-0990-001
Status: Historical Active	Previous ICR Reference No: 202202-0990-004
Agency/Subagency: HHS/HHSDM	Agency Tracking No: 0990-0390
Title: Generic: Challenge and Competition solicitations
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/10/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/03/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2023	04/30/2023	04/30/2023
Responses	2,355	0	2,080
Time Burden (Hours)	588	0	373
Cost Burden (Dollars)	0	0	0

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Abstract: The request is being sought so as to implement the uses of Challenge competitions as a means to promote innovative solutions to the problems and needs confronting DHHS. The approval seeks to enable specific information necessary to perform the evaluation of solutions provided by individuals and/or organizations requested by the Federal government. This Non-Substantive Change Request is submitted to add an additional 215 burden hours and 275 responses to the approved collection for CDC use of Generic mechanism.

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Authorizing Statute(s): US Code: 15 USC 3701 Name of Law: The Stevenson-Wydler Technology Innovation Act of 1980
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 15227	04/15/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 29526	06/24/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
2022 Million Hearts Hypertension Control Champions Challenge	0990-0390, 0990-0390, 0990-0390	2022 Million Hearts Hypertension Control Champions Challenge - Application Form ,   2022 Million Hearts Hypertension Control Champions Challenge - Data Verification Form ,   2022 Million Hearts Hypertension Control Champions Challenge - Interview Guide
REACH Lark Galloway-Gilliam Nomination for Advancing Health Equity (REACH Lark Award)	0990-0390	2022 REACH Lark Award Application
WHA Citizen Science Challenge Application 2022	1	WHA Citizen Science Challenge Application 2022

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	2,355	2,080	0	0	275	0
Annual Time Burden (Hours)	588	373	0	0	215	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $10,150

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/03/2022

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