NATIONAL VENEREAL DISEASE MORBIDITY PROGRAM

ICR 198302-0920-003

OMB: 0920-0011

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
110526 Migrated
ICR Details
0920-0011 198302-0920-003
Historical Active 197912-0920-005
HHS/CDC
NATIONAL VENEREAL DISEASE MORBIDITY PROGRAM
Revision of a currently approved collection   No
Regular
Approved without change 04/07/1983
Retrieve Notice of Action (NOA) 02/10/1983
  Inventory as of this Action Requested Previously Approved
04/30/1986 04/30/1986 04/30/1983
1,577 0 3,010
1,517 0 1,251
0 0 0

MORBIDITY DATA ARE USED TO DETERMINE THE EXTENT OF THE VD PROBLEM, TO MAKE ESTIMATES OF INCIDENCE AND PREVALENCE, TO DETERMINE POTENTIAL OUTBREAK AREAS, AGE DIFFERENTIALS WITH RESPECT TO VD RATES, AND TO DETERMINE SHIFTS IN PATIENT CARE (PARTICULARLY FROM CLINIC CARE TO PRIVATE PHYSICIAN).

None
None


No

1
IC Title Form No. Form Name
NATIONAL VENEREAL DISEASE MORBIDITY PROGRAM CDC, 73.2638, 73.688, 73.55

  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 1,577 3,010 0 -1,433 0 0
Annual Time Burden (Hours) 1,517 1,251 0 266 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
02/10/1983


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