Outcomes Data Collection of the National Prevention Information Network NPIN Website User Survey (Individuals)

Outcomes Data Collection of the National Prevention Information Network

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0768 can be found here:

Documents and Forms

Document Name Document Type
Appendix D NPIN Website User Survey.doc Instruction
Appendix C Introductory Website User Survey.doc Introductory Scren for NPIN Website User Survey IC Document

Information Collection (IC) Details

IC Title:	Outcomes Data Collection of the National Prevention Information Network NPIN Website User Survey (Individuals)	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 241

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Appendix D NPIN Website User Survey.doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,078	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,078	1,078
Annual IC Time Burden (Hours)	235	235
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Introductory Scren for NPIN Website User Survey	Appendix C Introductory Website User Survey.doc	10/12/2007

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