Information Collection

NPIN Verification (for Annual Updates)

IC 223252 under ICR 202603-0920-007 · OMB 0920-0255.

Documents and Forms

Document Name Document Type
NPIN Telephone Verification NPIN Verification (for Annual Updates) Form and Instruction
Form 0920-0255 NPIN Questionnaire for Annual Updates-Doxy PEP_Free mpox vaccine NPIN Verification (for Annual Updates) Form and Instruction
Form 0920-0255 NPIN Telephone Verification for Annual Updates_MAR2026 NPIN Verification (for Annual Updates) 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 Telephone Verification for Annual Updates_MAR2026 Att 3B_NPIN Questionnaire Annual Updates_clean.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
Form and Instruction	0920-0255	NPIN Telephone Verification for Annual Updates_MAR2026	Att 3B_NPIN Questionnaire Annual Updates_clean.docx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,135	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 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11,135	2,040	9,095
Annual IC Time Burden (Hours)	1,114	204	910
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.

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