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Federal forms, ICRs, and supporting documents

Information Collection

Outcomes Data Collection of the National Prevention Information Network NPIN Product and Services User Survey Individual/Household

IC 182791 under ICR 201103-0920-005 · OMB 0920-0768.

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

View Information Collection (IC)

Outcomes Data Collection of the National Prevention Information Network NPIN Product and Services User Survey Individual/Household
 
No Removed
 
Voluntary
 
42 CFR 241

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Appendix E NPIN Product and Services User Survey.doc Yes No Printable Only

Health Illness Prevention

 

1,648 0
   
Individuals or Households
 
   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 -3,296 0 0 3,296
Annual IC Time Burden (Hours) 0 0 -824 0 0 824
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Introductory Email for NPIN Products and Services User Survey Appendix F Introductory Email P&S User Survey.doc 10/12/2007
Email Reminder for NPN Products and Services User Survey Appendix G Reminder Email for P&S User Survey.doc 10/12/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.