Information Collection

National Venereal Disease Epidemiology Program

IC 110471 under ICR 198405-0920-002 · OMB 0920-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0001 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	NATIONAL VENEREAL DISEASE EPIDEMIOLOGY PROGRAM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CDC 73.54,	No	No
Form	73.2936A	No	No
Form	73.2936B	No	No
Form	73.97	No	No
Form	73.64	No	No
Form	73.2127	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	60,660	60,660
Annual IC Time Burden (Hours)	18,553	18,553
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.