OMB control number
[NCHHSTP] Resources and Services Database of the National Prevention Information Network
OMB 0920-0255 · HHS/CDC.
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. This Non-Substantive Change Request is submitted to add two options (Doxy PEP and Free mpox vaccine) to the NPIN questionnaire and online form. There is no change to the estimated burden hours.
The latest form for [NCHHSTP] Resources and Services Database of the National Prevention Information Network expires 2026-04-30 and can be found here.
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Form 0920-0255 NPIN Online Questionnaire_MAR2026
NPIN Online Questionnaire for New Organizations NCHHSTP] NPIN Initial Questionnaire Telephone Script for New Organizations
Federal Enterprise Architecture: Health - Illness Prevention
| Form 0920-0255 | NPIN Initial Questionnaire Telephone Script | Fillable Fileable | Form and instruction |
| Form 0920-0255 | NPIN Questionnaire for New Organizations-Doxy PEP_Free mpox vaccine | N/A | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.