NATIONAL SEXUALLY TRANSMITTED DISEASES MORBIDITY PROGRAM

ICR 198602-0920-002

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
110527 Migrated
ICR Details
0920-0011 198602-0920-002
Historical Active 198302-0920-003
HHS/CDC
NATIONAL SEXUALLY TRANSMITTED DISEASES MORBIDITY PROGRAM
Extension without change of a currently approved collection   No
Regular
Approved without change 04/14/1986
Retrieve Notice of Action (NOA) 02/12/1986
  Inventory as of this Action Requested Previously Approved
04/30/1989 04/30/1989 04/30/1986
1,577 0 1,577
1,517 0 1,517
0 0 0

STATE AND LOCAL HEALTH DEPARTMENTS REPORT MORBIDITY DATA USED TO DETERMINE THE EXTENT OF THE VD PROBLEM. DATA REPORTED ISALSO USED TO MAKE ESTIMATES OF INCIDENCE AND PREVALENC TO DETERMINE POTENTIAL OUTBREAK AREAS, AGE DIFFERENTIALS WITH RESPECT TO VD RATES, AND TO DETERMINE SHIFTS IN PATIENT CARE.

None
None


No

1
IC Title Form No. Form Name
NATIONAL SEXUALLY TRANSMITTED DISEASES MORBIDITY PROGRAM CDC 73.688, 73.998, 73.2638

  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 1,577 0 0 0 0
Annual Time Burden (Hours) 1,517 1,517 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.
02/12/1986


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