Information Collection

Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Registered Nurses, Health Educators, and Social and Human Service Assistants

IC 178811 under ICR 201311-0920-017 · OMB 0920-0255.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0255 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0255 Att4A_email_verification_messageTrack Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Registered Nurses, Health Educators, and Social and Human Service Assistants	Form and Instruction
Form 0920-0255 Att5_email_verification_instructionsClean Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Registered Nurses, Health Educators, and Social and Human Service Assistants	Form and Instruction
Form 0920-0255 Att5A_email_verification_instructionsTrack Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Registered Nurses, Health Educators, and Social and Human Service Assistants	Form and Instruction
0920-0255 Att4A_email_verification_messageTrack Att4 Email_verification_message.docx	Form and Instruction
0920-0255 Att5_email_verification_instructionsClean Att4A_email_verification_messageTrack.docx	Form and Instruction
0920-0255 Att5A_email_verification_instructionsTrack Att5A_email_verification_instructionsTrack.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Registered Nurses, Health Educators, and Social and Human Service Assistants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 31 CFR 1320.3 b (1)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0255	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0255	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0255	Yes	Yes	Fillable Fileable

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: 3,300

Number of Respondents for Small Entity: 100

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,300	1,733	1,567
Annual IC Time Burden (Hours)	550	289	261
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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