Email Verfication Message

Resources and Services Database of the National Prevention Information Network

OMB: 0920-0255

IC ID: 223253

Information Collection (IC) Details

View Information Collection (IC)

Email Verfication Message 0920-0255
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Email Att 3C_Email Verification.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

3,600 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,600 0 0 0 0 3,600
Annual IC Time Burden (Hours) 480 0 0 0 0 480
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Online Questionnaire (via email) Att 4_Screen_Shots_NPIN Online Questionnaire.docx 11/04/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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