Territorial Health Agencies

Nationally Notifiable Sexually Transmitted Disease (STD) Morbidity Surveillance

OMB: 0920-0819

IC ID: 204919

Documents and Forms
Information Collection (IC) Details

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Territorial Health Agencies
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction no form number Information Content of Nationally STD Case Report by Data Element ATT3_Data Elements.docx Yes Yes Fillable Printable
Other-screen shots example of data screen ATT8_Data Screens from STDMIS 5.doc.docx Yes Yes Fillable Printable

Health Health Care Services

 

5 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 260 0 260 0 0 0
Annual IC Time Burden (Hours) 87 0 87 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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