STD Surveillance Network (SSuN)

ICR 201207-0920-007

OMB: 0920-0842

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Supporting Statement B
2012-07-09
Supplementary Document
2012-07-09
Supplementary Document
2012-07-09
Supplementary Document
2012-07-09
Supplementary Document
2012-07-09
Supplementary Document
2012-07-09
Supporting Statement A
2012-07-09
IC Document Collections
ICR Details
0920-0842 201207-0920-007
Historical Active 201001-0920-003
HHS/CDC
STD Surveillance Network (SSuN)
Revision of a currently approved collection   No
Regular
Approved without change 09/07/2012
Retrieve Notice of Action (NOA) 07/18/2012
  Inventory as of this Action Requested Previously Approved
09/30/2015 36 Months From Approved 01/31/2013
2,928 0 2,928
480 0 432
0 0 0

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.

US Code: 42 USC 241 Name of Law: Public Health and Welfare
  
None

Not associated with rulemaking

  77 FR 25482 04/30/2012
77 FR 40887 07/11/2012
No

2
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

  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
Yes
Miscellaneous Actions
No
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.

$2,044,584
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]

  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.
07/18/2012


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