Information Collection Request

[NCHHSTP] Resources and Services Database of the National Prevention Information Network

ICR 202307-0920-004 · OMB 0920-0255 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
NPIN Online Questionnaire for New Organizations Form and Instruction Unchanged Available
NPIN Online Questionnaire for New Organizations Form and Instruction Unchanged Repair queued
NPIN Verification (for Annual Updates) Form and Instruction Unchanged Available
NPIN Verification (for Annual Updates) Form and Instruction Unchanged Repair queued
Form 0920-0255 NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations Form and Instruction Modified Repair queued
Form 0920-0255 NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations Form and Instruction Modified Repair queued
Change Request_OMB 0920-0255 Resources and Services Database of CDC-NPIN_New Organizations.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-07-26 Available
Change Request_OMB 0920-0255 Resources and Services Database of CDC-NPIN_New Organizations.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-07-26 Repair queued
Att 6 -NPIN-1209-PTA-07-23-2019-100.pdf Supplementary Document Uploaded 2022-09-22 Available
Att 6 -NPIN-1209-PTA-07-23-2019-100.pdf Supplementary Document Uploaded 2022-09-22 Repair queued
Att 5_Sample NPIN Record.docx Supplementary Document Uploaded 2022-09-22 Available
Att 5_Sample NPIN Record.docx Supplementary Document Uploaded 2022-09-22 Repair queued
Att 3C_NPIN Email Invitation.docx Supplementary Document Uploaded 2022-09-22 Available
Att 3C_NPIN Email Invitation.docx Supplementary Document Uploaded 2022-09-22 Repair queued
Att 2_60-Day FRN.pdf Supplementary Document Uploaded 2022-09-22 Available
Att 2_60-Day FRN.pdf Supplementary Document Uploaded 2022-09-22 Repair queued
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2022-09-22 Available
Att 1_Auth Legislation.docx Supplementary Document Uploaded 2022-09-22 Repair queued
SS B_Final_01112023.docx Supporting Statement B Uploaded 2023-03-03 Available
SS B_Final_01112023.docx Supporting Statement B Uploaded 2023-03-03 Repair queued
SS A_Final_01112023.docx Supporting Statement A Uploaded 2023-03-03 Available
SS A_Final_01112023.docx Supporting Statement A Uploaded 2023-03-03 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
223253 NPIN Online Questionnaire for New Organizations Form and Instruction Unchanged
223253 NPIN Online Questionnaire for New Organizations Form and Instruction Unchanged
223252 NPIN Verification (for Annual Updates) Form and Instruction Unchanged
223252 NPIN Verification (for Annual Updates) Form and Instruction Unchanged
223251 NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations Form and Instruction Modified
223251 NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2026 03/31/2026 03/31/2026
11,900 0 11,500
1,211 0 1,164
0 0 0





table that charts list of burden
  Total Approved 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 11,900 11,500 0 400 0 0
Annual Time Burden (Hours) 1,211 1,164 0 47 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No