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

Outcomes Data Collection of the National Prevention Information Network

Documents and Forms

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 Survey 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

Information Collection (IC) Details

IC Title:	Outcomes Data Collection of the National Prevention Information Network NPIN Products and Services User Survey Federal Government Organization	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 241

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Appendix E NPIN Product and Services User Survey.doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 94	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-188	188
Annual IC Time Burden (Hours)	-47	47
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Introductory Email for NPIN Products and Survey User Survey	Appendix F Introductory Email P&S User Survey.doc	10/12/2007
Email Reminder for NPIN Products and Services User Survey	Appendix G Reminder Email for P&S User Survey.doc	10/12/2007

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