Information Collection

National Sexually Transmitted Diseases (STD) Morbidity Surveillance System

IC 6610 under ICR 199909-0920-008 · OMB 0920-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0011 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	National Sexually Transmitted Diseases (STD) Morbidity Surveillance System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CDC73.2638	Yes	Yes
Form	CDC73.998	Yes	Yes
Form	CDC73.688	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 36	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4	-1,304	1,308
Annual IC Time Burden (Hours)	828	-420	1,248
Annual IC Cost Burden (Dollars)	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.