Information Collection Request

Sexually Transmitted Disease (STD) Morbidity Surveillance

ICR 200904-0920-006 · OMB 0920-0819 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Sexually Transmitted Disease (STD) Morbidity Surveillance : State, City and county, and Territorial health departments Form and Instruction New Available
Memo SDMB Response_OMB ques 072309.doc Supplementary Document Uploaded 2009-07-24 Available
SuppStat B.doc Supporting Statement B Uploaded 2009-07-24 Available
30_day FRN.pdf Supplementary Document Uploaded 2009-03-26 Repair queued
ATT5 Research Determination.doc Supplementary Document Uploaded 2009-01-12 Available
ATT4_CSTEguide.doc Supplementary Document Uploaded 2009-01-12 Available
ATT6_infoflow.doc Supplementary Document Uploaded 2009-01-12 Repair queued
ATT2_60dFRN.pdf Supplementary Document Uploaded 2009-01-12 Available
ATT1_legislation.doc Supplementary Document Uploaded 2009-01-12 Available
Revised_STD_XXXX_SuppStmnt_A_072309[1] Supporting Statement A Uploaded 2009-07-24 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
188706 Sexually Transmitted Disease (STD) Morbidity Surveillance : State, City and county, and Territorial health departments Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2012 36 Months From Approved
2,964 0 0
988 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Sexually Transmitted Disease (STD) Morbidity Surveillance : State, City and county, and Territorial health departments 1, 1 Data Elements

table that charts list of burden
  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 2,964 0 0 2,964 0 0
Annual Time Burden (Hours) 988 0 0 988 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No