GONORRHEA CULTURE TEST RESULTS OF FEMALES

ICR 198107-0920-006

OMB: 0920-0019

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
165653 Migrated
ICR Details
0920-0019 198107-0920-006
Historical Active 198002-0920-002
HHS/CDC
GONORRHEA CULTURE TEST RESULTS OF FEMALES
No material or nonsubstantive change to a currently approved collection   No
Emergency 07/17/1981
Approved with change 07/17/1981
Retrieve Notice of Action (NOA) 07/17/1981
  Inventory as of this Action Requested Previously Approved
07/31/1984 07/31/1984 01/31/1985
976 0 976
6,832 0 6,832
0 0 0

THESE REPORTS ARE USED FOR SURVEILLANCE AND PROGRAM MANAGEMENT OF THE NUMBER OF WOMEN TESTED, POSITIVE, AND TREATED FOR GONORRHEA BY TYPE OF HEALTH CARE PROVIDER AND BY PROGRAM AREA. THE NUMBER OF PENICILLIANXE-PRODUCING NEISSERIA GONORRHOEAE (PPNG) PROVIDES US WITH INFORMATION ON THE EXTENT AND TREND OF THE NEW PROBLEM OF GONORRHEA STRAINS WHICH RESIST TREATMENT WITH ALL FORMS OF PENICILLIN. TECHNICAL ASSISTANCE, PROGRAM PLANNING, AND EVALUATIO

None
None


No

1
IC Title Form No. Form Name
GONORRHEA CULTURE TEST RESULTS OF FEMALES CDC 9.124

  Total Approved 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 976 976 0 0 0 0
Annual Time Burden (Hours) 6,832 6,832 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/17/1981


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