OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Application for Healthy Kids Challenge - Individual/Household

IC 192126 under ICR 201006-0584-001 · OMB 0584-0555.

Documents and Forms
Document Name
Document Type
Other-Application
Other-application
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Application for Healthy Kids Challenge - Individual/Household
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Application Screene-Shots for Challenge Wireframes.docx www.AppsforHealthyKids.com Yes Yes Fillable Fileable Signable
Other-application Appendix C Contest Application C 9-20-2010.docx www.AppsforHealthyKids.com Yes Yes Fillable Fileable Signable

Health Public Health Monitoring

 

25 0
   
Individuals or Households
 
   100 %

  Approved 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 25 0 0 0 0 25
Annual IC Time Burden (Hours) 1,381 0 0 0 0 1,381
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Contest Rules Appendix_C_-_Contest_Official_Rules[1].doc 09/29/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.