OMB
.report
Search
Outcomes Data Collection of the National Prevention Information Network NPIN Products and Services User Survey Private Sector Organizations
Outcomes Data Collection of the National Prevention Information Network
OMB: 0920-0768
IC ID: 182788
OMB.report
HHS/CDC
OMB 0920-0768
ICR 201103-0920-005
IC 182788
( )
Documents and Forms
Document Name
Document Type
Outcomes Data Collection of the National Prevention Information Network NPIN Products and Services User Survey Private Sector Organizations
Form
NPIN Products and Services User Survey
0920_0768_2010_NPIN_att3-D_ProdServiceSurvey.doc
Form
0920_0768_2010_NPIN_att3-C_IntroForProdServiceSurvey.doc
Attachment 3c - Intro for Products and Services Survey
IC Document
0920_0768_2010_NPIN_att3-E_ReminderForProdServiceSurvey.doc
Attachment 3e - Reminder for Products and Services Survey
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Outcomes Data Collection of the National Prevention Information Network NPIN Products and Services User Survey Private Sector Organizations
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
42 CFR 241
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
none
NPIN Products and Services User Survey
0920_0768_2010_NPIN_att3-D_ProdServiceSurvey.doc
No
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
500
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:
99 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,000
0
0
-3,310
0
4,310
Annual IC Time Burden (Hours)
217
0
-861
0
0
1,078
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 3c - Intro for Products and Services Survey
0920_0768_2010_NPIN_att3-C_IntroForProdServiceSurvey.doc
03/14/2011
Attachment 3e - Reminder for Products and Services Survey
0920_0768_2010_NPIN_att3-E_ReminderForProdServiceSurvey.doc
03/14/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.