NPIN Online Questionnaire for New Organizations

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

OMB: 0920-0255

IC ID: 223253

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

NPIN Online Questionnaire for New Organizations
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None NPIN Online Questionnaire Att 4_NPIN Online Questionnaire_with Mpox Vaccine and Mpox Testing.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0255 NPIN Online Questionnaire-Doxy PEP_Free mpox vaccine Att 4‑ScreenShots_NPIN Online Questionnaire_Free mpox vaccine and Doxy PEP.docx N/A Yes Yes Fillable Fileable

Health Illness Prevention

 

1,605 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 1,605 0 0 0 0 1,605
Annual IC Time Burden (Hours) 161 0 0 0 0 161
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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