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

Information Collection of the Resources and Services Database of the National Prevention Information Network: 30 day

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.