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Federal forms, ICRs, and supporting documents

Information Collection

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

IC 182788 under ICR 201103-0920-005 · OMB 0920-0768.

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Information Collection (IC) Details

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Outcomes Data Collection of the National Prevention Information Network NPIN Products and Services User Survey Private Sector Organizations
 
No Modified
 
Voluntary
 
42 CFR 241

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 No Yes Fillable Fileable

Health Illness Prevention

 

500 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   99 %

  Approved 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 0 -3,310 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
Attachment 3c - Intro for Products and Services Survey 0920_0768_2010_NPIN_att3-C_IntroForProdServiceSurvey.doc 03/14/2011
Attachment 3e - Reminder for Products and Services Survey 0920_0768_2010_NPIN_att3-E_ReminderForProdServiceSurvey.doc 03/14/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.