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Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Health Educators
Resources and Services Database of the National Prevention Information Network
OMB: 0920-0255
IC ID: 178809
OMB.report
HHS/CDC
OMB 0920-0255
ICR 201311-0920-017
IC 178809
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0255 can be found here:
2024-06-20 - No material or nonsubstantive change to a currently approved collection
2023-07-26 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 3
Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Health Educators
Form
3 Telephone Verification Sript
Final_0920_0255_att3-C_tele_verification_script_rev.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Health Educators
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
3
Telephone Verification Sript
Final_0920_0255_att3-C_tele_verification_script_rev.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
700
Number of Respondents for Small Entity:
420
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
0
0
-700
0
0
700
Annual IC Time Burden (Hours)
0
0
-117
0
0
117
Annual IC Cost Burden (Dollars)
0
0
0
0
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.