OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 0920-0255 ยท HHS/CDC.

OMB 0920-0255

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

The latest form for [NCHHSTP] Resources and Services Database of the National Prevention Information Network expires 2029-07-31 and is listed under ICR 202603-0920-007.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-0255 NPIN Online Questionnaire_MAR2026Form and Instruction
Form 0920-0255 NPIN Online Questionnaire-Doxy PEP_Free mpox vaccineForm and Instruction
NPIN Online QuestionnaireForm and Instruction
Form 0920-0255 NPIN Telephone Verification for Annual Updates_MAR2026 (document unavailable)Form and Instruction
Form 0920-0255 NPIN Questionnaire for Annual Updates-Doxy PEP_Free mpox vaccine (document unavailable)Form and Instruction
NPIN Telephone VerificationForm and Instruction
Form 0920-0255 NPIN Initial Questionnaire Telephone Script_MAR2026Form and Instruction
Form 0920-0255 NPIN Questionnaire for New Organizations-Doxy PEP_Free mpox vaccineForm and Instruction
Form 0920-0255 NPIN Initial Questionnaire Telephone ScriptForm and Instruction
SSB_rev.docxSupporting Statement B
SSA_rev.docxSupporting Statement A
Att6_NPIN PTA Form.pdfSupplementary Document
Att2_60-Day FRN Published.pdfSupplementary Document
0920-0255 Change Request Memo 16JUN2024.docxJustification for No Material/Nonsubstantive Change
Change Request_OMB 0920-0255 Resources and Services Database of CDC-NPIN_New Organizations.docxJustification for No Material/Nonsubstantive Change
Att 6 -NPIN-1209-PTA-07-23-2019-100.pdfSupplementary Document
Att 5_Sample NPIN Record.docxSupplementary Document
Att 3C_NPIN Email Invitation.docxSupplementary Document
Att 2_60-Day FRN.pdfSupplementary Document
Att 1_Auth Legislation.docxSupplementary Document
NPIN Online Questionnaire for New Organizations Form and Instruction
NPIN Online Questionnaire for New Organizations Form and Instruction
NPIN Online Questionnaire for New Organizations Form and Instruction
NPIN Online Questionnaire for New Organizations Form and Instruction
NPIN Verification (for Annual Updates) Form and Instruction
NPIN Verification (for Annual Updates) Form and Instruction
NPIN Verification (for Annual Updates) Form and Instruction
NPIN Verification (for Annual Updates) Form and Instruction
NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations Form and Instruction
NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations Form and Instruction
NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations Form and Instruction
NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202603-0920-007 Revision of a currently approved collection 2026-03-24
202406-0920-003 No material or nonsubstantive change to a currently approved collection 2024-06-20 Approved without change
202307-0920-004 No material or nonsubstantive change to a currently approved collection 2023-07-26 Approved without change
202209-0920-003 Revision of a currently approved collection 2022-09-23 Approved with change
202102-0920-013 No material or nonsubstantive change to a currently approved collection 2021-03-16 Approved without change
201911-0920-001 Revision of a currently approved collection 2019-11-05 Approved without change
201608-0920-014 Revision of a currently approved collection 2016-08-31 Approved without change
201311-0920-017 Revision of a currently approved collection 2013-11-26 Approved without change
201011-0920-008 Reinstatement with change of a previously approved collection 2010-11-30 Approved without change
200702-0920-005 Revision of a currently approved collection 2007-02-21 Approved without change
200307-0920-002 Reinstatement with change of a previously approved collection 2003-07-09 Approved without change
199605-0920-001 Reinstatement with change of a previously approved collection 1996-05-06 Approved without change
199301-0920-001 Revision of a currently approved collection 1993-01-14 Approved without change
199002-0920-001 New collection (Request for a new OMB Control Number) 1990-02-01 Approved without change

OMB Details

NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations

Federal Enterprise Architecture: Health - Illness Prevention

Information collection instruments
FormNameElectronic accessType
Form 0920-0255NPIN Initial Questionnaire Telephone ScriptFillable FileableForm and instruction
Form 0920-0255NPIN Initial Questionnaire Telephone Script_MAR2026N/AForm and instruction
Form 0920-0255NPIN Questionnaire for New Organizations-Doxy PEP_Free mpox vaccineN/AForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.