[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_MAR2026	Form and Instruction	Modified	Available
Form 0920-0255 NPIN Online Questionnaire-Doxy PEP_Free mpox vaccine	Form and Instruction	Modified	Available
NPIN Online Questionnaire	Form and Instruction	Modified	Available
Form 0920-0255 NPIN Telephone Verification for Annual Updates_MAR2026	Form and Instruction	Modified	Available
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
Form 0920-0255 NPIN Initial Questionnaire Telephone Script_MAR2026	Form and Instruction	Modified	Available
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
SSB_rev.docx	Supporting Statement B	Uploaded 2026-03-17	Available
SSA_rev.docx	Supporting Statement A	Uploaded 2026-03-17	Available
Att6_NPIN PTA Form.pdf	Supplementary Document	Uploaded 2026-03-16	Available
Att2_60-Day FRN Published.pdf	Supplementary Document	Uploaded 2026-03-16	Available
0920-0255 Change Request Memo 16JUN2024.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-06-17	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	Available
Att 6 -NPIN-1209-PTA-07-23-2019-100.pdf	Supplementary Document	Uploaded 2022-09-22	Available
Att 5_Sample NPIN Record.docx	Supplementary Document	Uploaded 2022-09-22	Available
Att 3C_NPIN Email Invitation.docx	Supplementary Document	Uploaded 2022-09-22	Available
Att 2_60-Day FRN.pdf	Supplementary Document	Uploaded 2022-09-22	Available
Att 1_Auth Legislation.docx	Supplementary Document	Uploaded 2022-09-22	Available

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_MAR2026
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 Telephone Verification for Annual Updates_MAR2026
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 Initial Questionnaire Telephone Script_MAR2026
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: 202603-0920-007
Status: Received in OIRA	Previous ICR Reference No: 202406-0920-003
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: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/24/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	14,300	11,900
Time Burden (Hours)	1,451	1,211
Cost Burden (Dollars)	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 Revision is submitted to: 1) Make small changes to the format of the survey 1) Make changes to the surveys involving the decrease in the number of services (7) and fees (3) 2) Increase the number of organizations needing an annual update. Revision of 0920-0255 results in an overall increase in burden hours to 1,451

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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:
	90 FR 56155	12/05/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 14027	03/24/2026
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, 0920-0255	NPIN Initial Questionnaire Telephone Script ,   NPIN Questionnaire for New Organizations-Doxy PEP_Free mpox vaccine ,   NPIN Initial Questionnaire Telephone Script_MAR2026
NPIN Online Questionnaire for New Organizations	None, 0920-0255, 0920-0255	NPIN Online Questionnaire ,   NPIN Online Questionnaire-Doxy PEP_Free mpox vaccine ,   NPIN Online Questionnaire_MAR2026
NPIN Verification (for Annual Updates)	None, 0920-0255, 0920-0255	NPIN Telephone Verification ,   NPIN Questionnaire for Annual Updates-Doxy PEP_Free mpox vaccine ,   NPIN Telephone Verification for Annual Updates_MAR2026

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	14,300	11,900	0	2,400	0	0
Annual Time Burden (Hours)	1,451	1,211	0	240	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This Revision for 0920=-0255 is submitted to: 1) Make minor changes to surveys; 2) Decrease the number of services (7) and fees (3); and 3) Increase the number of organizations needing an annual update. Actions result in an overall increase in burden hours to 1,451.

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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: 03/24/2026

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