Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Community Service Managers

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⚠️ Notice: This information collection may be referencing outdated material.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: Social and Community Service Managers Form and Instruction
0920-0255 Att4 Email_verification_message Att4 Email_verification_message.docx Form and Instruction
0920-0255 Att4A_email_verification_messageTrack Att4A_email_verification_messageTrack.docx Form and Instruction
0920-0255 Att5_email_verification_instructionsClean Att5_email_verification_instructionsClean.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: Social and Community Service Managers	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	Att4 Email_verification_message	Att4 Email_verification_message.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0255	Att4A_email_verification_messageTrack	Att4A_email_verification_messageTrack.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0255	Att5_email_verification_instructionsClean	Att5_email_verification_instructionsClean.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: 300	Number of Respondents for Small Entity: 180

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	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.