Information Collection

NPIN Verification (for Annual Updates)

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

0920-0255

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None		Yes	Yes	Fillable Fileable
Form and Instruction	0920-0255	N/A	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0255	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 %

table that charts list of burden
	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

table that charts IC Documents
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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