Prevention Research Centers Information System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0650 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0650 Prevention Research Centers Information System Form and Instruction
0920-0650 Prevention Research Center 83-C PRC 081706 Instrument with changes marked.pdf Form and Instruction
83-C_PRC_081706_SURVEYCHGS v2.doc PRC Changes IC Document
Race,Ethnicity explanation from Oct2004.rtf Race and Ethnicity justification IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Prevention Research Centers Information System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0650	Prevention Research Center	83-C PRC 081706 Instrument with changes marked.pdf		No	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 66	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	132	132
Annual IC Time Burden (Hours)	279	279
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PRC Changes	83-C_PRC_081706_SURVEYCHGS v2.doc	09/25/2006
Race and Ethnicity justification	Race,Ethnicity explanation from Oct2004.rtf	09/25/2006

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.