Information Collection

[NCCDPHP] 2024 REACH Lark Award Challenge

IC 265996 under ICR 202306-0990-017 · OMB 0990-0390.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0990-0390 [NCCDPHP] 2024 REACH Lark Award Challenge	Form and Instruction
0990-0390 2024 REACH Lark Award Challenge Application 2024 REACH Lark Award Application.docx	Form and Instruction
Challenge.gov Webpage.docx Challenge.gov webpage - screenshot	IC Document
NCCDPHP REACH Lark FRN_Draft_.docx Fedral Register Notice - Draft	IC Document
0990-0390 HHS Challenge ICR _Mar 27 24.docx SS-A	IC Document

IC Title:

Agency IC Tracking Number:

0990-0390

IC Status: New

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	0990-0390	2024 REACH Lark Award Challenge Application	2024 REACH Lark Award Application.docx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Challenge.gov webpage - screenshot	Challenge.gov Webpage.docx	03/15/2024
Fedral Register Notice - Draft	NCCDPHP REACH Lark FRN_Draft_.docx	03/15/2024
SS-A	0990-0390 HHS Challenge ICR _Mar 27 24.docx	03/27/2024

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