View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations 0920-0255
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0255 NPIN Initial Questionnaire Telephone Script Att 3A_NPIN Initial Questionnaire Phone Script _OMB0920-0255.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0255 NPIN Questionnaire for New Organizations-Doxy PEP_Free mpox vaccine Att 3A_NPIN Questionnaire for New Organizations_Free Mpox Vaccine_Doxy PEP.docx N/A Yes Yes Fillable Fileable

Health Illness Prevention

 

1,200 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 1,200 0 0 0 0 1,200
Annual IC Time Burden (Hours) 140 0 0 0 0 140
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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