Information Collection

Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Human Service Assistants

IC 195473 under ICR 201011-0920-008 · OMB 0920-0255.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0255 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Final_0920_0255_2010_att4_email_verification_message.docx Final_0920_0255_2010_att4_email_verification_message	IC Document
Final_0920_0255_2010_att5_email_verification_instructions.docx Final_0920_0255_2010_att5_email_verification_instructions	IC Document
Final_0920_0255_2010_att6_sample_NPIN_res_serv_db_record.docx Final_0920_0255_2010_att6_sample_NPIN_res_serv_db_record	IC Document

IC Title:

Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Human Service Assistants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 31 CFR 1320.3 (b)(1)

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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,400

Number of Respondents for Small Entity: 1,440

Affected Public: Federal Government

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	2,400	2,400
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Final_0920_0255_2010_att4_email_verification_message	Final_0920_0255_2010_att4_email_verification_message.docx	11/08/2010
Final_0920_0255_2010_att5_email_verification_instructions	Final_0920_0255_2010_att5_email_verification_instructions.docx	11/08/2010
Final_0920_0255_2010_att6_sample_NPIN_res_serv_db_record	Final_0920_0255_2010_att6_sample_NPIN_res_serv_db_record.docx	11/08/2010

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