Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Health Educators Modified 300 50 0
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Registered Nurses, Health Educators, and Social and Human Service Assistants Modified 3300 550 0 Form and Instruction 0920-0255 Att4A_email_verification_messageTrack
Form and Instruction 0920-0255 Att5_email_verification_instructionsClean
Form and Instruction 0920-0255 Att5A_email_verification_instructionsTrack
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Community Service Managers Modified 300 60 0 Form and Instruction 0920-0255 Att4 Email_verification_message
Form and Instruction 0920-0255 Att4A_email_verification_messageTrack
Form and Instruction 0920-0255 Att5_email_verification_instructionsClean
Form and Instruction 0920-0255 Att5A_email_verification_instructionsTrack
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Human Service Assistants Removed 0 0 0
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Health Educators Modified 50 11 0 Form and Instruction 0920-0255 Att3A_Initial_Res_Org_Quest
Form and Instruction 0920-0255 Att3B_initial_quest_tele_scriptClean
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Registered Nurses Modified 100 33 0 Form and Instruction 0920-0255 Att3A_Initial_Res_Org_Quest
Form and Instruction 0920-0255 Att3B_initial_quest_tele_scriptClean
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Community Service Managers Modified 50 8 0 Form and Instruction None Appendix E: Annual update request (Telephone)
Form and Instruction 0920-0255 Att3A_Initial_Res_Org_Quest
Form and Instruction 0920-0255 Att3B_initial_quest_tele_scriptClean
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Human Service Assistants Modified 400 100 0 Form and Instruction None Appendix F: Annual update Request (E-Mail)
Form and Instruction 0920-0255 Att3A_Initial_Res_Org_Quest
Form and Instruction 0920-0255 Att3B_initial_quest_tele_scriptClean
Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Health Educators Removed 0 0 0 Form 3 Telephone Verification Sript
Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Registered Nurses, Social and Community Service Managers, and Health Educators Modified 2400 400 0 Form and Instruction 0920-0255 Att3C_tele_verification_script
Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Social and Community Service Managers Removed 0 0 0 Form 3 Telephone Verification Script
Social and Human Service Assistants Modified 4800 720 0 Form and Instruction 0920-0255 Att3C_tele_verification_script
Total burden requested under this ICR: 11700 1932 0  
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