Att 4_Screen Shots of the NPIN Online Questionnaire

Resources and Services Database of the CDC National Prevention Information Network

0920-0255

Attachment 4

Screen Shots of the NPIN Online Questionnaire

Public reporting burden of this collection of information is estimated to be 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, or respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0255).