Nationally Notifiable Sexually Transmitted Disease (STD) Morbidity Surveillance

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form no form number Information Content of Nationally STD Case Report by Data Element	Form and Instruction	New	Available
Form no form number Information Content of Nationally STD Case Report by Data Element	Form and Instruction	New	Available
Form no form number Information Content of Nationally STD Case Report by Data Element	Form and Instruction	Modified	Available
Supporting Statement B.doc	Supporting Statement B	Uploaded 2012-11-19	Available
ATT1_legislation.doc	Supplementary Document	Uploaded 2012-11-19	Available
ATT7_STD_NETSS_record_layout.pdf	Supplementary Document	Uploaded 2012-11-19	Available
ATT6_Data Infomation Flow.doc	Supplementary Document	Uploaded 2012-11-19	Available
ATT5_Memo SDMB ResponseOMB Ques.doc	Supplementary Document	Uploaded 2012-11-19	Available
ATT4_CSTEguide.doc	Supplementary Document	Uploaded 2012-11-19	Available
Supporting Statement A.docx	Supporting Statement A	Uploaded 2012-11-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
204920	City and County Health Departments	Other-screen shots example of data screen	New
204920	City and County Health Departments	Form and Instruction	New	Information Content of Nationally STD Case Report by Data Element
204919	Territorial Health Agencies	Other-screen shots example of data screen	New
204919	Territorial Health Agencies	Form and Instruction	New	Information Content of Nationally STD Case Report by Data Element
188706	State Health Departments	Other-screen shots example of data screen	Modified
188706	State Health Departments	Form and Instruction	Modified	Information Content of Nationally STD Case Report by Data Element

ICR Details

OMB Control No: 0920-0819	ICR Reference No: 201211-0920-010
Status: Historical Active	Previous ICR Reference No: 200904-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Nationally Notifiable Sexually Transmitted Disease (STD) Morbidity Surveillance
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/01/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/21/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved
Responses	2,964	0	0
Time Burden (Hours)	989	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The CDC is responsible for the reporting and dissemination of nationally notifiable STD morbidity information for prevention and control purposes in collaboration with state and local health departments. CDC is proposing to continue electronic information collection with a title change to "Nationally Notifiable Sexually Transmitted Disease (STD) Morbidity Surveillance", which will include information on laboratory confirmation of syphilis infection and risk behaviors of persons infected with syphilis and other STDs. The Nationally Notifiable Sexually Transmitted Disease (STD) Morbidity Surveillance data will identify population subgroups at increased risk for STDs, accommodate evidence-based intervention strategies, evaluate the impact of ongoing control efforts and generally enhance our understanding of STD transmission.

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Authorizing Statute(s): US Code: 3 USC 301 Name of Law: Public Health Service Act
  

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 50698	08/22/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 68782	11/16/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
City and County Health Departments	no form number	Information Content of Nationally STD Case Report by Data Element
State Health Departments	no form number	Information Content of Nationally STD Case Report by Data Element
Territorial Health Agencies	no form number	Information Content of Nationally STD Case Report by Data Element

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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	2,964	0	0	2,964	0	0
Annual Time Burden (Hours)	989	0	0	989	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: This is a reinstatement with change of the electronic data collection to change the title to "Nationally Notifiable Sexually Transmitted Disease (STD) Morbidity Surveillance".

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Annual Cost to Federal Government: $321,322

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: 11/21/2012

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