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Outcomes Data Collection of the National Prevention Information Network Products and Services Users Survey (Telephone) State and Local Govt
Outcomes Data Collection of the National Prevention Information Network
OMB: 0920-0768
IC ID: 182793
OMB.report
HHS/CDC
OMB 0920-0768
ICR 201103-0920-005
IC 182793
( )
Documents and Forms
Document Name
Document Type
Appendix H NIPN Product & Services User Servey Telephone Script.doc
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Outcomes Data Collection of the National Prevention Information Network Products and Services Users Survey (Telephone) State and Local Govt
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
Instruction
Appendix H NIPN Product & Services User Servey Telephone Script.doc
No
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
25
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
0
0
-50
0
0
50
Annual IC Time Burden (Hours)
0
0
-13
0
0
13
Annual IC Cost Burden (Dollars)
0
0
0
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.