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Federal forms, ICRs, and supporting documents

Information Collection

ODPHP/PCSFN Speaker Request Form

IC 251778 under ICR 202407-0990-002 · OMB 0990-0281.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

ODPHP/PCSFN Speaker Request Form
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 ODPHP Speakers Bureau Application ODPHP Speakers Bureau Application_1.13.22.docx Yes Yes Fillable Fileable
Form and Instruction ODPHP/PCSFN Speaking Request Form ODPHP/PCSFN Speaking Request Form ODPHP_PCSFN Speaking Request Form _ health.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

60 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 60 0 0 0 0 60
Annual IC Time Burden (Hours) 10 0 0 0 0 10
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Speakers Bureau Supplementary Document ODPHP Speakers Bureau Application_3.31.docx 04/04/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.