Gonococcal Isolate Surveillance Project

ICR 201307-0920-009

OMB: 0920-0307

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Form
Modified
Form
Modified
Supporting Statement B
2013-07-18
Supplementary Document
2013-07-18
Supplementary Document
2013-07-18
Supplementary Document
2013-07-18
Supplementary Document
2013-07-18
Supplementary Document
2013-07-18
Supplementary Document
2013-07-18
Supplementary Document
2013-07-18
Supporting Statement A
2013-07-18
IC Document Collections
ICR Details
0920-0307 201307-0920-009
Historical Active 201012-0920-002
HHS/CDC 20079
Gonococcal Isolate Surveillance Project
Revision of a currently approved collection   No
Regular
Approved without change 08/21/2013
Retrieve Notice of Action (NOA) 07/19/2013
  Inventory as of this Action Requested Previously Approved
08/31/2016 36 Months From Approved 12/31/2013
14,700 0 14,700
8,628 0 8,628
0 0 0

The purpose of this revision is to request approval to change one of the current forms and to extend collection for an additional three years. The forms are used to collect surveillance data on antimicrobial resistance in Neisseria gonorrohoeae. These data are used by public health officials at the national, state, and local level to determine appropriate therapy for gonorrhea. In addition, the data are used to monitor trends N. gonorrhoeae antimicrobial resistance and certain epidemiologic aspects of gonorrhea.

US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  78 FR 18600 03/27/2013
78 FR 42956 07/18/2013
Yes

  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 14,700 14,700 0 0 0 0
Annual Time Burden (Hours) 8,628 8,628 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$806,900
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Petunia Gissendaner 4046390164

  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.
07/19/2013


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