Information Collection of the Resources and Services Database of the National Prevention Information Network: 30 day

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Revised Resource Organization Questionnaire (Fifth Version)	Form and Instruction	Modified	Available
Annual Update Request (E-Mail) Federal Government Organizations	Form and Instruction	New	Available
Annual Update Request (Telephone) Federal Government Organizations	Form and Instruction	New	Available
Annual Update Request (E-Mail) State & Local Gov't Organizations	Form and Instruction	New	Available
Annual Update Request (Telephone) State and Local Gov't Organizations	Form and Instruction	New	Available
Questionnaire Telephone Script (State & Local Gov't Organizations)	Form and Instruction	New	Repair queued
Annual Update Request-E-Mail (Private Sector)	Form and Instruction	New	Available
Telephone Annual Update Request (Private Sector Organizations	Form and Instruction	New	Available
Questionnaire (Telephone Script)Private Sector	Form and Instruction	New	Available
Backup of NPIN OMB Supporting Statement Orgs Database 2.4.2007.wbk	Supplementary Document	Uploaded 0000-00-00	Repair queued
Public Health Act.doc	Supplementary Document	Uploaded 0000-00-00	Available
Brief to Privacy Act Officer.doc	Supplementary Document	Uploaded 0000-00-00	Available
Title page.doc	Supplementary Document	Uploaded 0000-00-00	Repair queued
30 day 2.14.07.pdf	Supplementary Document	Uploaded 0000-00-00	Available
60-Day FR notice.pdf	Supplementary Document	Uploaded 0000-00-00	Available
Cover page.doc	Supplementary Document	Uploaded 0000-00-00	Available
NPIN OMB Supporting Statement Orgs Database 2.4.2007.doc	Supporting Statement A	Uploaded 0000-00-00	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6708	Revised Resource Organization Questionnaire (Fifth Version)	Form and Instruction	Modified
178811	Annual Update Request (E-Mail) Federal Government Organizations	Form and Instruction	New
178810	Annual Update Request (Telephone) Federal Government Organizations	Form and Instruction	New
178809	Annual Update Request (E-Mail) State & Local Gov't Organizations	Form and Instruction	New
178808	Annual Update Request (Telephone) State and Local Gov't Organizations	Form and Instruction	New
178807	Questionnaire Telephone Script (State & Local Gov't Organizations)	Form and Instruction	New
178806	Annual Update Request-E-Mail (Private Sector)	Form and Instruction	New
178805	Telephone Annual Update Request (Private Sector Organizations	Form and Instruction	New
178804	Questionnaire (Telephone Script)Private Sector	Form and Instruction	New

ICR Details

OMB Control No: 0920-0255	ICR Reference No: 200702-0920-005
Status: Historical Active	Previous ICR Reference No: 200307-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Information Collection of the Resources and Services Database of the National Prevention Information Network: 30 day
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/31/2007
	Date Received in OIRA: 02/21/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2010	36 Months From Approved	05/31/2007
Responses	35,200	0	19,133
Time Burden (Hours)	8,674	0	3,858
Cost Burden (Dollars)	0	0	0

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Abstract: CDC is seeking OMB approval to reinstate data collection for the Resources and Services Database for the CDC National Prevention Information Network (formerly known as the National AIDS Clearinghouse). The database contains entries on approximately 19,000 organizations and is the most comprehensive listing of HIV/AIDS, STD, and TB resources and services available throughout the US. This request is for a 3 year approval.

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Authorizing Statute(s): PL: Pub.L. 100 - 607 2521 Name of Law: Public Health Service Act (42 USC 241)
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 35908	06/22/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 7041	02/14/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 9

table that charts list of burden

IC Title	Form No.	Form Name
Revised Resource Organization Questionnaire (Fifth Version)	None	Appendix C Revised Resource Organization Questionnaire (Fifth Version)
Questionnaire (Telephone Script)Private Sector	None	Appendix D. Telephone Script
Telephone Annual Update Request (Private Sector Organizations	None	Appendix E: Annual update request (Telephone)
Annual Update Request-E-Mail (Private Sector)	None	Appendix F: Annual update Request (E-Mail)
Questionnaire Telephone Script (State & Local Gov't Organizations)	None	Appendix D: Questionnaire (Telephone Script)
Annual Update Request (Telephone) State and Local Gov't Organizations	None	Appendix E. Annual Update Request (Telephone)
Annual Update Request (E-Mail) State & Local Gov't Organizations	None	Appendix F. Annual Update Request (E-Mail)
Annual Update Request (Telephone) Federal Government Organizations	None	Appendix E. Annual Update Request (Telephone)
Annual Update Request (E-Mail) Federal Government Organizations	none	Appendix F: Annual Update Request (E-Mail)

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	35,200	19,133	0	16,067	0	0
Annual Time Burden (Hours)	8,674	3,858	0	4,816	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: All modifications made to the instruments reflect the mission of NCHSTP and are in line with the previous data collection approval. The few questions added to the instruments are related to the data collection subject matter and are consistent with NCHSTP mission. Authorization for use of the revised Questionnaire, telephone script of the Questionnaire, and requests for annual telephone update or email update is requested for a three-year period.

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Annual Cost to Federal Government: $363,321

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/21/2007

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