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NPIN Verification (for Annual Updates)
[NCHHSTP] Resources and Services Database of the National Prevention Information Network
OMB: 0920-0255
IC ID: 223252
OMB.report
HHS/CDC
OMB 0920-0255
ICR 202406-0920-003
IC 223252
( )
Documents and Forms
Document Name
Document Type
NPIN Verification (for Annual Updates)
Form and Instruction
NPIN Telephone Verification
Att 3B_NPIN Telephone Verification_with MpoxVaccine&Testing_Jan112023.docx
Form and Instruction
NPIN Telephone Verification
Att 3B_NPIN Telephone Verification_with MpoxVaccine&Testing_Jan112023.docx
Form and Instruction
0920-0255 NPIN Questionnaire for Annual Updates-Doxy PEP_Free mpox
Att 3B_NPIN Questionnaire for Annual Updates_Doxy PEP_Free mpox vaccine.docx
Form and Instruction
0920-0255 NPIN Questionnaire for Annual Updates-Doxy PEP_Free mpox
Att 3B_NPIN Questionnaire for Annual Updates_Doxy PEP_Free mpox vaccine.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
Form and Instruction
0920-0255
NPIN Questionnaire for Annual Updates-Doxy PEP_Free mpox vaccine
Att 3B_NPIN Questionnaire for Annual Updates_Doxy PEP_Free mpox vaccine.docx
N/A
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
9,095
0
0
0
0
9,095
Annual IC Time Burden (Hours)
910
0
0
0
0
910
Annual IC Cost Burden (Dollars)
0
0
0
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.