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National Sexually Transmitted Diseases Morbidity Program
NATIONAL SEXUALLY TRANSMITTED DISEASES MORBIDITY PROGRAM
OMB: 0920-0011
IC ID: 110528
OMB.report
HHS/CDC
OMB 0920-0011
ICR 198902-0920-004
IC 110528
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0011 can be found here:
2000-11-29 - Extension without change of a currently approved collection
2000-02-24 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NATIONAL SEXUALLY TRANSMITTED DISEASES MORBIDITY 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.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CDC 73.688
No
No
Form
CDC 73.998
No
No
Form
CDC 73.2638
No
No
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,577
0
0
0
0
1,577
Annual IC Time Burden (Hours)
1,517
0
0
0
0
1,517
Annual IC Cost Burden (Dollars)
0
0
0
0
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.