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

OMB 0920-0255

The goal of the study 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. The methods used to collect the information include online, telephone and email survey questionnaires to collect information from representatives of the organizations that provide covered services. This data collection uses no inferential statistical methods. The data collected is in textual or anecdotal format and will be used for information. This revision contains minor changes to the format of the survey and a significant decrease in the number of burden hours requested.

The latest form for [NCHHSTP] Resources and Services Database of the National Prevention Information Network expires 2023-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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
Form 0920-0255 NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations Form and Instruction
Form 0920-0255 NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations Form and Instruction
Change Request_OMB 0920-0255 Resources and Services Database of CDC-NPIN_New Organizations.docx Justification for No Material/Nonsubstantive Change
Change Request_OMB 0920-0255 Resources and Services Database of CDC-NPIN_New Organizations.docx Justification for No Material/Nonsubstantive Change
Att 6 -NPIN-1209-PTA-07-23-2019-100.pdf Supplementary Document
Att 6 -NPIN-1209-PTA-07-23-2019-100.pdf Supplementary Document
Att 5_Sample NPIN Record.docx Supplementary Document
Att 5_Sample NPIN Record.docx Supplementary Document
Att 3C_NPIN Email Invitation.docx Supplementary Document
Att 3C_NPIN Email Invitation.docx Supplementary Document
Att 2_60-Day FRN.pdf Supplementary Document
Att 2_60-Day FRN.pdf Supplementary Document
Att 1_Auth Legislation.docx Supplementary Document
Att 1_Auth Legislation.docx Supplementary Document
SS B_Final_01112023.docx Supporting Statement B
SS B_Final_01112023.docx Supporting Statement B
SS A_Final_01112023.docx Supporting Statement A
SS A_Final_01112023.docx Supporting Statement A
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
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

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

OMB Details

NPIN Questionnaire for New Organizations

Federal Enterprise Architecture: Health - Illness Prevention

Form 0920-0255

Questionnaire for New Organizations

Fillable Fileable

Form and instruction

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