Gonococcal Isolate Surveillance Project

ICR 200410-0920-011

OMB: 0920-0307

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
6747 Migrated
ICR Details
0920-0307 200410-0920-011
Historical Active 200109-0920-003
HHS/CDC
Gonococcal Isolate Surveillance Project
Revision of a currently approved collection   No
Regular
Approved with change 01/18/2005
Retrieve Notice of Action (NOA) 10/25/2004
Approved under the following terms: upon resubmission of this information collection request, CDC will report to OMB on agecny efforts to provide electronic versions of all collection instruments associated with this package.
  Inventory as of this Action Requested Previously Approved
01/31/2008 01/31/2008 01/31/2005
1,644 0 1,308
8,142 0 6,300
0 0 0

The purpose of these forms is to collect surveillance data on antimicrobial resistance in Neisseria gonorrohoeae. These data are used by public health officials at the national, state, and local level to determine appropriate therapy for gonorrohea. In addition, the data are used to monitor trends in certain epidemiologic aspects of gonorrohea, including the Healthy People 2010 goal for repeat gonococcal infections.

None
None


No

1
IC Title Form No. Form Name
Gonococcal Isolate Surveillance Project CDC-73.60A, 73.60B, 73.60C

  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 1,644 1,308 0 336 0 0
Annual Time Burden (Hours) 8,142 6,300 0 1,842 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
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.
10/25/2004


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