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

Outcomes Data Collection of the National Prevention Information Network

OMB: 0920-0768

IC ID: 182788

Information Collection (IC) Details

View Information Collection (IC)

Outcomes Data Collection of the National Prevention Information Network NPIN Products and Services User Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none NPIN Products and Services User Survey 0920_0768_2010_NPIN_att3-D_ProdServiceSurvey.doc Yes Yes Fillable Fileable

Health Public Health Monitoring

 

500 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   95 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,000 0 -3,310 0 0 4,310
Annual IC Time Burden (Hours) 217 0 -861 0 0 1,078
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Product and Services User Survey intro 0920_0768_2010_NPIN_att3-C_IntroForProdServiceSurvey.doc 01/27/2011
Product and Services User Survey reminder 0920_0768_2010_NPIN_att3-E_ReminderForProdServiceSurvey.doc 01/27/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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