Information Collection

NPIN Verification (for Annual Updates)

IC 223252 under ICR 202209-0920-003 · OMB 0920-0255.

⚠️ Notice: This information collection may be referencing outdated material.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
NPIN Verification (for Annual Updates) Form and Instruction
NPIN Telephone Verification Att 3B_NPIN Telephone Verification_Clean.docx Form and Instruction
NPIN Telephone Verification Att 3B_NPIN Telephone Verification_with MpoxVaccine&Testing_Jan112023.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NPIN Verification (for Annual Updates)	Agency IC Tracking Number:	0920-0255

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	NPIN Telephone Verification	Att 3B_NPIN Telephone Verification_with MpoxVaccine&Testing_Jan112023.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9,095	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	9,095	2,995	6,100
Annual IC Time Burden (Hours)	910	300	610
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.