Information Collection

Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Registered Nurses

IC 6708 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 1 Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Registered Nurses	Form and Instruction
1 CDC National Prevention Information NetworkResource Orga Final_0920_0255_att3-A_Init_Res_Org_Quest_Rev.docx	Form and Instruction
2 Initial Questionnaire Telephone Script Final_0920_0255_att3-B_initial_quest_tele_script_rev.docx	Form and Instruction

IC Title:

Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Registered Nurses

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	1	CDC National Prevention Information NetworkResource Organization Online Questionnaire	Final_0920_0255_att3-A_Init_Res_Org_Quest_Rev.docx		Yes	Yes	Fillable Printable
Form and Instruction	2	Initial Questionnaire Telephone Script	Final_0920_0255_att3-B_initial_quest_tele_script_rev.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

Number of Respondents for Small Entity: 72

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 40 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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