STD Surveillance Network (SSuN)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Population-based Surveillance	Form and Instruction	Modified	Available
STD Clinic-based Surveillance	Form and Instruction	Modified	Available
Supporting Statement B.doc	Supporting Statement B	Uploaded 2012-07-09	Available
Final Det of NR 2009FEB19.pdf	Supplementary Document	Uploaded 2012-07-09	Available
Att_6 Presentations and Publications.docx	Supplementary Document	Uploaded 2012-07-09	Available
ATT_2_60 Day FRN.docx	Supplementary Document	Uploaded 2012-07-09	Available
ATT_1Legislation.docx	Supplementary Document	Uploaded 2012-07-09	Available
ATT_4 List of Collaborators.docx	Supplementary Document	Uploaded 2012-07-09	Available
Supporting Statement A.doc	Supporting Statement A	Uploaded 2012-07-09	Available

IC Document Collections

Information collection document groups

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

ICR Details

OMB Control No: 0920-0842	ICR Reference No: 201207-0920-007
Status: Historical Active	Previous ICR Reference No: 201001-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: STD Surveillance Network (SSuN)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/07/2012
	Date Received in OIRA: 07/18/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	36 Months From Approved	01/31/2013
Responses	2,928	0	2,928
Time Burden (Hours)	480	0	432
Cost Burden (Dollars)	0	0	0

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Abstract: STD Surveillance Network is a network of 12 local and state health departments who perform active surveillance and provide detailed information on demographic characteristics, behavioral risk factors, and clinical history 1) on persons attending participating STD clinics in one of the 12 US cities and 2) on a random sample of persons diagnosed with gonorrhea within the SSuN jurisdictions. The information enables public health officials to understand characteristics of persons tested, diagnosed and treated for STDs, inform and guide STD control programs and policies, and identify and evaluate the effectiveness of public health interventions to reduce STD morbidity.

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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:
	77 FR 25482	04/30/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 40887	07/11/2012
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	Att 3a - Clinic-based data elements
Population-based Surveillance	none	Att 3b - Population-based data elements

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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	2,928	0	0	0	0
Annual Time Burden (Hours)	480	432	0	48	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The burden in this revision has increased slightly. Four additional questions were added to the standard interview questionnaire resulting in an increase of one minute per response compared to the previously approved information collection time of 7 minutes; thereby increasing the total burden hours by 48 hours to 480.

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Annual Cost to Federal Government: $2,044,584

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 07/18/2012

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