Information Collection

Prevention Research Centers Information System

IC 37806 under ICR 200706-0920-012 · OMB 0920-0650.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Prevention Research Centers Information System	Form and Instruction
PRC Information System Data Entry Frames Attachment 8. PRC IS Data Frames.pdf	Form and Instruction
Attachment 4. Mod 1 Sept 2005.doc Modification 1 September 2005	IC Document
Attachment 5. Mod 2 Nov 2006.doc Modification 2 November 2006	IC Document

IC Title:

Prevention Research Centers Information System

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	PRC Information System Data Entry Frames	Attachment 8. PRC IS Data Frames.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 33

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	66	-66	132
Annual IC Time Burden (Hours)	279	0	279
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Modification 1 September 2005	Attachment 4. Mod 1 Sept 2005.doc	05/23/2007
Modification 2 November 2006	Attachment 5. Mod 2 Nov 2006.doc	05/23/2007

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