National Sexually Transmitted Diseases (STD) Morbidity Surveillance System

ICR 199601-0920-001

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
ICR Details
0920-0011 199601-0920-001
Historical Active 199209-0920-002
HHS/CDC
National Sexually Transmitted Diseases (STD) Morbidity Surveillance System
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 03/12/1996
Retrieve Notice of Action (NOA) 01/26/1996
  Inventory as of this Action Requested Previously Approved
03/31/1999 03/31/1999
1,308 0 0
1,248 0 0
0 0 0

The purpose of these reports is to collect STD morbidity surveillance data from State health departments nationwide. The data are used by health care planners at the national, State, and local levels to develop and evaluate STD prevention and control programs.

None
None


No

1
IC Title Form No. Form Name
National Sexually Transmitted Diseases (STD) Morbidity Surveillance System CDC-73.688, CDC-73.998, CDC-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 1,308 0 0 1,308 0 0
Annual Time Burden (Hours) 1,248 0 0 1,248 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.
01/26/1996


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