Information Collection

Outcomes Data Collection of the National Prevention Information Network NPIN Products and Services User Survey Private Sector Organizations

IC 182788 under ICR 200711-0920-009 · OMB 0920-0768.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix E NPIN Product and Services User Survey.doc	Instruction
Appendix F Introductory Email P&S User Survey.doc Introductory Email for NPIN Products and Services User Survey	IC Document
Appendix G Reminder Email for P&S User Survey.doc Email Reminder for NPIN Products and Services User Survey	IC Document

IC Title:

Outcomes Data Collection of the National Prevention Information Network NPIN Products and Services User Survey Private Sector Organizations

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Appendix E NPIN Product and Services 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: 2,155

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,310	4,310
Annual IC Time Burden (Hours)	1,078	1,078
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Introductory Email for NPIN Products and Services User Survey	Appendix F Introductory Email P&S User Survey.doc	10/12/2007
Email Reminder for NPIN Products and Services User Survey	Appendix G Reminder Email for P&S User Survey.doc	10/12/2007

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