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

Resources and Services Database of the National Prevention Information Network

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 0920-0255 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

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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0255	Att4A_email_verification_messageTrack	Att4 Email_verification_message.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0255	Att5_email_verification_instructionsClean	Att4A_email_verification_messageTrack.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0255	Att5A_email_verification_instructionsTrack	Att5A_email_verification_instructionsTrack.docx	Yes	Yes	Fillable Fileable

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 %

	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

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.