Resources and Services Database of the National Prevention Information Network

Forms and Documents

Document Name	Status
NPIN Online Questionnaire for New Organizations Form and Instruction	Modified
NPIN Verification (for Annual Updates) Form and Instruction	Modified
NPIN Initial Questionnaire Telephone Script for New Organizations Form and Instruction	Modified
Att 6 -NPIN-1209-PTA-07-23-2019-100.pdf Supplementary Document	2022-09-22
Att 5_Sample NPIN Record.docx Supplementary Document	2022-09-22
Att 3C_NPIN Email Invitation.docx Supplementary Document	2022-09-22
Att 2_60-Day FRN.pdf Supplementary Document	2022-09-22
Att 1_Auth Legislation.docx Supplementary Document	2022-09-22
SS B_Final_09142022.docx Supporting Statement B	2022-09-22
SS A_Final_09142022.docx Supporting Statement A	2022-09-22

IC Document Collections

IC ID	Document Title	Status
223253	NPIN Online Questionnaire for New Organizations Form and Instruction	Modified
223252	NPIN Verification (for Annual Updates) Form and Instruction	Modified
223251	NPIN Initial Questionnaire Telephone Script for New Organizations Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0255	ICR Reference No: 202209-0920-003
Status: Received in OIRA	Previous ICR Reference No: 202102-0920-013
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0255
Title: Resources and Services Database of the National Prevention Information Network
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/23/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2023
Responses	11,500	10,100
Time Burden (Hours)	1,164	1,144
Cost Burden (Dollars)	0	0

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Abstract: The goal of project 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, and to satisfy the legislative mandate that information and education on HIV/AIDS be made available expeditiously and accurately to the professional community and to the general public. Methods to be used to collect the information include online telephone calls and an online form to collect information from representatives of the organizations that provide covered services.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service
   PL: Pub.L. 100 - 607 301 Name of Law: Public Law
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 29322	05/13/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 58089	09/23/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
NPIN Initial Questionnaire Telephone Script for New Organizations	None	NPIN Initial Questionnaire Telephone Script
NPIN Online Questionnaire for New Organizations	None	NPIN Online Questionnaire
NPIN Verification (for Annual Updates)	None	NPIN Telephone Verification

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	11,500	10,100	0	1,400	0	0
Annual Time Burden (Hours)	1,164	1,144	0	20	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Overall there is net increase of 20 burden hours due to minor changes in forms and adjustments to the number of respondents for each mode of response for new organizations (telephone interview vs online). There is an increase of 39 burden hours for new organizations participating by telephone (increase of 400 responses and decrease in burden per response from 8 minutes to 7 minutes). There is an increase of 300 burden hours for annual telephone verification (increase of 2,995 responses and no change in burden per response). There is a decrease of 319 burden hours for new organizations participating by online questionnaire (decrease of 1,995 responses and decrease in burden per response from 8 minutes to 6 minutes)

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Annual Cost to Federal Government: $1,999,744

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/23/2022

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