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
Form 2 Initial Questionnaire Telephone Script	Form and Instruction	Modified	Available
Form 1 CDC National Prevention Information NetworkResource Organization Online Questionnaire	Form and Instruction	Modified	Available
Form 3 Telephone Verification Script	Form	Modified	Available
Form 3 Telephone Verification Sript	Form	Modified	Available
Form 3 Telephone Verification Script	Form	Modified	Available
Form 3 Telephone Verification Script	Form	Modified	Available
Appendix F: Annual update Request (E-Mail)	Form and Instruction	Modified	Available
Appendix E: Annual update request (Telephone)	Form and Instruction	Modified	Available
Appendix D. Telephone Script	Form and Instruction	Modified	Available
Final_0920_0255_att2_60_day_fed_reg_not.docx	Supplementary Document	Uploaded 2010-11-05	Available
Final_0920_0255_att1_legislation.docx	Supplementary Document	Uploaded 2010-11-05	Available
Final_0920_0255_2010_att6_sample_NPIN_res_serv_db_record.docx	Supplementary Document	Uploaded 2010-11-08	Available
Final_0920_0255_2010_att5_email_verification_instructions.docx	Supplementary Document	Uploaded 2010-11-08	Available
Final_0920_0255_2010_att4_email_verification_message.docx	Supplementary Document	Uploaded 2010-11-08	Available
Final_0920_0255_2010_att6_sample_NPIN_res_serv_db_record.docx	Supplementary Document	Uploaded 2010-11-08	Available
Final_0920_0255_2010_att5_email_verification_instructions.docx	Supplementary Document	Uploaded 2010-11-08	Available
Final_0920_0255_2010_att4_email_verification_message.docx	Supplementary Document	Uploaded 2010-11-08	Available
Final_0920_0255_2010_att6_sample_NPIN_res_serv_db_record.docx	Supplementary Document	Uploaded 2010-11-08	Available
Final_0920_0255_2010_att5_email_verification_instructions.docx	Supplementary Document	Uploaded 2010-11-08	Available
Final_0920_0255_2010_att4_email_verification_message.docx	Supplementary Document	Uploaded 2010-11-08	Available
Questionnaire (Telephone Script).doc	Supplementary Document	Uploaded 2007-02-15	Available
Questionnaire (Telephone Script).doc	Supplementary Document	Uploaded 2007-02-15	Available
Final_0920_0255_2010_att6_sample_NPIN_res_serv_db_record.docx	Supplementary Document	Uploaded 2010-11-08	Available
Final_0920_0255_2010_att5_email_verification_instructions.docx	Supplementary Document	Uploaded 2010-11-08	Available
Final_0920_0255_2010_att4_email_verification_message.docx	Supplementary Document	Uploaded 2010-11-08	Available
Questionnaire (Telephone Script).doc	Supplementary Document	Uploaded 2007-02-15	Available
Final_0920_0255_NPIN_Supporting_Statement A.docx	Supporting Statement A	Uploaded 2010-11-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6708	Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Registered Nurses	Form and Instruction	Modified	Initial Questionnaire Telephone Script
6708	Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Registered Nurses	Form and Instruction	Modified	CDC National Prevention Information NetworkResource Organization Online Questionnaire
195473	Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Human Service Assistants		New
195472	Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Health Educators		New
195471	Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Community Service Managers		New
178811	Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Registered Nurses		Modified
178810	Annual Update Request (Telephone) Federal Government Organizations	Form	Modified	Telephone Verification Script
178809	Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Health Educators	Form	Modified	Telephone Verification Sript
178808	Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Social and Community Service Managers	Form	Modified	Telephone Verification Script
178807	Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Registered Nurses	Form	Modified	Telephone Verification Script
178806	Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Human Service Assistants	Form and Instruction	Modified	Appendix F: Annual update Request (E-Mail)
178805	Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Community Service Managers	Form and Instruction	Modified	Appendix E: Annual update request (Telephone)
178804	Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Health Educators	Form and Instruction	Modified	Appendix D. Telephone Script

ICR Details

OMB Control No: 0920-0255	ICR Reference No: 201011-0920-008
Status: Historical Active	Previous ICR Reference No: 200702-0920-005
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: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/05/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/30/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	36 Months From Approved
Responses	15,887	0	0
Time Burden (Hours)	2,599	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) proposes to reinstate data collection for the Resources and Services Database of the CDC National Prevention Information Network (formerly known as the National AIDS Clearinghouse), previously approved under OMB No. 0920-0255. This request is for a 3-year term.

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Authorizing Statute(s): PL: Pub.L. 100 - 607 301 Name of Law: Public Law
   US Code: 42 USC 241 Name of Law: Public Health Service
  

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:
	75 FR 45122	08/02/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 67365	11/02/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
Annual Update Request (Telephone) Federal Government Organizations	3	Telephone Verification Script
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Health Educators
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Registered Nurses
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Community Service Managers
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Human Service Assistants
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Health Educators	None	Appendix D. Telephone Script
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Registered Nurses	1, 2	CDC National Prevention Information NetworkResource Organization Online Questionnaire ,   Initial Questionnaire Telephone Script
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Community Service Managers	None	Appendix E: Annual update request (Telephone)
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Human Service Assistants	None	Appendix F: Annual update Request (E-Mail)
Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Health Educators	3	Telephone Verification Sript
Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Registered Nurses	3	Telephone Verification Script
Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Social and Community Service Managers	3	Telephone Verification Script

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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	15,887	0	0	15,887	0	0
Annual Time Burden (Hours)	2,599	0	0	2,599	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: This is a request for reinstatement with change of OMB Control No. 0920-0255. The inventory for the approval which expired on May 31, 2010 was 3,854 burden hours. The new requested burden is 2,600 hours, a substantial reduction in burden of 1,254 hours. The difference in burden from the previous OMB-approved protocol is due to the fact that a substantial number of organizations listed in the database have been inactivated, thus reducing the number of records that need to be verified each year from 15,000 to 10,000. These organizations were removed because they either stopped offering related services or ceased operating. This reflects, in part, the reductions in funding available to organizations over the past three years.

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Annual Cost to Federal Government: $535,992

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 11/30/2010

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