Resources and Services Database of the National Prevention Information Network

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NPIN Questionnaire for Annual Updates (Telephone)	Form and Instruction	Modified	Repair queued
NPIN Questionnaire for New Organizations	Form and Instruction	Modified	Repair queued
Att 4_Screen_Shots_NPIN Online Questionnaire_Change Request added (1).docx	Supplementary Document	Uploaded 2021-03-16	Repair queued
Change Request_OMB 0920-0255 Resources and Services Database of CDC-NPIN (1).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-03-16	Repair queued
Att 6 -NPIN-1209-PTA-07-23-2019-100.pdf	Supplementary Document	Uploaded 2019-11-04	Repair queued
Att 5_Sample NPIN Record.docx	Supplementary Document	Uploaded 2019-11-04	Repair queued
Att 2 60 Day FRN Published.pdf	Supplementary Document	Uploaded 2019-11-04	Repair queued
Att 1_Auth Legislation.docx	Supplementary Document	Uploaded 2019-11-04	Repair queued
SS B final.docx	Supporting Statement B	Uploaded 2019-11-04	Available
SS A final.docx	Supporting Statement A	Uploaded 2019-11-04	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223253	Email Verfication Message	Other-Email	Unchanged
223252	NPIN Questionnaire for Annual Updates (Telephone)	Form and Instruction	Modified
223251	NPIN Questionnaire for New Organizations	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0255	ICR Reference No: 202102-0920-013
Status: Received in OIRA	Previous ICR Reference No: 201911-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0255-21DM
Title: Resources and Services Database of the National Prevention Information Network
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/16/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	01/31/2023	01/31/2023
Responses	10,100	10,100
Time Burden (Hours)	1,144	1,144
Cost Burden (Dollars)	0	0

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Abstract: The goal of the study is to collect information from and about organizations that provide services related to HIV/AIDS, viral hepatitis, STDs and TB at the local, state and national level. The intended use of the resulting data is to support a resource for referrals, to facilitate partnerships and coordination among programs dealing with HIV/AIDS, viral hepatitis, STDs and TB. The methods used to collect the information include online, telephone and email survey questionnaires to collect information from representatives of the organizations that provide covered services. This data collection uses no inferential statistical methods. The data collected is in textual or anecdotal format and will be used for information. This change request adds one question to the questionnaire.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service
   PL: Pub.L. 100 - 607 301 Name of Law: Public Law
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 32175	07/05/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 59386	11/04/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
NPIN Questionnaire for New Organizations	none	NPIN Questionnaire for New Organizations
NPIN Questionnaire for Annual Updates (Telephone)	none	NPIN Questionnaire for Annual Updates
Email Verfication Message

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	10,100	10,100	0	0	0	0
Annual Time Burden (Hours)	1,144	1,144	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,803,603

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/16/2021

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