STD Surveillance Network (SSuN)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Population-based Surveillance	Form	Modified	Available
STD Clinic-based Surveillance	Form	Modified	Available
SSuN_Supporting Statement B.doc	Supporting Statement B	Uploaded 2009-12-14	Available
FW RE (09AR) ICRs - STD Surveillance Network (SSuN.htm	Supplementary Document	Uploaded 2009-12-14	Available
SSuN_Attachment 5_Determination.pdf	Supplementary Document	Uploaded 2009-12-14	Available
SSuN_Attachment 4_List of collaborators.doc	Supplementary Document	Uploaded 2009-12-14	Available
SSuN_Attachment 2_60 day FedReg.doc	Supplementary Document	Uploaded 2009-12-14	Available
SSuN_Attachment 1_Legis.doc	Supplementary Document	Uploaded 2009-12-14	Available
SSuN_Supporting Statement A.doc	Supporting Statement A	Uploaded 2009-12-14	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
190699	Population-based Surveillance	Form	Modified
190698	STD Clinic-based Surveillance	Form	Modified

ICR Details

OMB Control No: 0920-0842	ICR Reference No: 201001-0920-003
Status: Historical Active	Previous ICR Reference No: 200909-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: STD Surveillance Network (SSuN)
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/27/2010
	Date Received in OIRA: 01/21/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2013	36 Months From Approved
Responses	2,928	0	0
Time Burden (Hours)	432	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The active surveillance driven STD Surveillance will provide detailed information on demographics, behaviors, and clinical history of persons who attend STD clinics in one of 12 cities around the US. The information will enable public health officials to understand important characteristics of persons tested for STDs and develop interventions to decrease STD transmission.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health and Welfare
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 7907	02/20/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 66973	12/17/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
STD Clinic-based Surveillance	none	STD Clinic-based Surveillance
Population-based Surveillance	none	Population-based Surveillance

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ICR Summary of Burden

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	2,928	0	0	0	0	2,928
Annual Time Burden (Hours)	432	0	0	0	0	432
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,773,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/20/2010

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