Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Att 3A_NPIN Questionnaire _ New Organization New 400 100 0 Form and Instruction 0920-0255 NPIN Questionnaire for New Organizations
Att 3B_NPIN Questionnaire for Annual Updates (Telephone) New 6100 1017 0 Form 0920-0255 NPIN Questionnarier for Annual Updates
Att 3C_Email Verfication Message New 3000 600 0 Other-Email
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Health Educators Removed 0 0 0
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Registered Nurses, Health Educators, and Social and Human Service Assistants Removed 0 0 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 Removed 0 0 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 - Initial Questionnaire Telephone Script: Health Educators Removed 0 0 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 Removed 0 0 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 Removed 0 0 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 Removed 0 0 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: Registered Nurses, Social and Community Service Managers, and Health Educators Removed 0 0 0 Form and Instruction 0920-0255 Att3C_tele_verification_script
Social and Human Service Assistants Removed 0 0 0 Form and Instruction 0920-0255 Att3C_tele_verification_script
Total burden requested under this ICR: 9500 1717 0  
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