Information Collection

Healthy Competition

IC 277553 under ICR 202509-1105-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1105-0NEW Healthy Competition	Form and Instruction
Form 1105-0NEW Healthy Competition Healthy Competition	Form and Instruction
1105-0NEW Healthy Competition HealthyCompetition.gov Full Mockup_3.5.25.docx	Form and Instruction
1105-0NEW Healthy Competition HealthyCompetition.gov Full Mockup_3.5.25.docx	Form and Instruction

IC Title:

Healthy Competition

Agency IC Tracking Number:

Is this a Common Form? No

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	1105-0NEW				Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,345

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	2,345	2,345
Annual IC Time Burden (Hours)	469	469
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].