Information Collection

Outcomes Data Collection of the National Prevention Information Network Product and Services Users Survey- State and Local Government

IC 182789 under ICR 201102-0920-012 · OMB 0920-0768.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0768 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix E NPIN Product and Services User Survey.doc	Instruction
Appendix F Introductory Email P&S User Survey.doc Introductory Email for NPIN Products and Services User Survey	IC Document
Appendix G Reminder Email for P&S User Survey.doc Email Reminder for NPIN Products and Services User Survey	IC Document

IC Title:

Outcomes Data Collection of the National Prevention Information Network Product and Services Users Survey- State and Local Government

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 241

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
Instruction					Yes	No	Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 222

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-444	444
Annual IC Time Burden (Hours)	-111	111
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Introductory Email for NPIN Products and Services User Survey		10/12/2007
Email Reminder for NPIN Products and Services User Survey		10/12/2007

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].