Information Collection

DoNation General Workplace Campaign Scorecard

IC 254850 under ICR 202207-0906-002 · OMB 0906-0070.

Documents and Forms

Document Name Document Type
Form 1 DoNation General Workplace Campaign Scorecard Form
1 OMB DoNation Scorecard 07152022 - OMB DoNation Scorecard - CLEAN.docx Form
1 OMB DoNation Scorecard 07152022 - OMB DoNation Scorecard - CLEAN.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	DoNation General Workplace Campaign Scorecard	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	OMB DoNation Scorecard	07152022 - OMB DoNation Scorecard - CLEAN.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,400	1,400
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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