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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0255 NPIN Online Questionnaire-Doxy PEP_Free mpox vaccine	Form and Instruction	Modified	Available
NPIN Online Questionnaire	Form and Instruction	Modified	Available
NPIN Online Questionnaire for New Organizations	Form and Instruction	Modified	Repair queued
Form 0920-0255 NPIN Questionnaire for Annual Updates-Doxy PEP_Free mpox vaccine	Form and Instruction	Modified	Available
NPIN Telephone Verification	Form and Instruction	Modified	Available
NPIN Verification (for Annual Updates)	Form and Instruction	Modified	Repair queued
Form 0920-0255 NPIN Questionnaire for New Organizations-Doxy PEP_Free mpox vaccine	Form and Instruction	Modified	Available
Form 0920-0255 NPIN Initial Questionnaire Telephone Script	Form and Instruction	Modified	Available
Form 0920-0255 NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations	Form and Instruction	Modified	Repair queued
0920-0255 Change Request Memo 16JUN2024.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-06-17	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	Repair queued
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	Repair queued
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	Repair queued
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	Repair queued
SS A_Final_01112023.docx	Supporting Statement A	Uploaded 2023-03-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223253	NPIN Online Questionnaire for New Organizations	Form and Instruction	Modified	NPIN Online Questionnaire-Doxy PEP_Free mpox vaccine
223253	NPIN Online Questionnaire for New Organizations	Form and Instruction	Modified	NPIN Online Questionnaire
223253	NPIN Online Questionnaire for New Organizations	Form and Instruction	Modified
223252	NPIN Verification (for Annual Updates)	Form and Instruction	Modified	NPIN Questionnaire for Annual Updates-Doxy PEP_Free mpox vaccine
223252	NPIN Verification (for Annual Updates)	Form and Instruction	Modified	NPIN Telephone Verification
223252	NPIN Verification (for Annual Updates)	Form and Instruction	Modified
223251	NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations	Form and Instruction	Modified	NPIN Questionnaire for New Organizations-Doxy PEP_Free mpox vaccine
223251	NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations	Form and Instruction	Modified	NPIN Initial Questionnaire Telephone Script
223251	NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0255	ICR Reference No: 202406-0920-003
Status: Historical Active	Previous ICR Reference No: 202307-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0255
Title: [NCHHSTP] 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
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/12/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/20/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	03/31/2026	03/31/2026
Responses	11,900	0	11,900
Time Burden (Hours)	1,211	0	1,211
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of project 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, and to satisfy the legislative mandate that information and education on HIV/AIDS be made available expeditiously and accurately to the professional community and to the general public. Methods to be used to collect the information include online telephone calls and an online form to collect information from representatives of the organizations that provide covered services. This Non-Substantive Change Request is submitted to add two options (Doxy PEP and Free mpox vaccine) to the NPIN questionnaire and online form. There is no change to the estimated burden hours.

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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:
	87 FR 29322	05/13/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 58089	09/23/2022
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
NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations	0920-0255, 0920-0255	NPIN Initial Questionnaire Telephone Script ,   NPIN Questionnaire for New Organizations-Doxy PEP_Free mpox vaccine
NPIN Online Questionnaire for New Organizations	None, 0920-0255	NPIN Online Questionnaire ,   NPIN Online Questionnaire-Doxy PEP_Free mpox vaccine
NPIN Verification (for Annual Updates)	None, 0920-0255	NPIN Telephone Verification ,   NPIN Questionnaire for Annual Updates-Doxy PEP_Free mpox vaccine

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ICR Summary of Burden

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	11,900	0	0	0	0
Annual Time Burden (Hours)	1,211	1,211	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: $1,999,744

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: 06/20/2024

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