Att 3_Proposed Changes_FINAL

Att 3_Proposed Changes_FINAL.docx

Gonococcal Isolate Surveillance Project

Att 3_Proposed Changes_FINAL

OMB: 0920-0307

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Summary of Proposed Changes in the ICR for

The Gonococcal Isolate Surveillance Project (GISP)

OMB # 0920-0307



Attachment 3



Summary of Revisions


The revision to the ICR consists of removing 4 variables from the approved Form 1: Demographic and Clinical Data (Attachment 3a). The variables to be removed have not proven useful in the past. Removal of these variables will not increase or decrease the burden.

Use the table below to identify the attachments affected by the change, where on the attachment the change occurs, and what the change is.



Table 1. Proposed Modifications

Location in Documents

Modifications



Attachment 3a:

(first full row of Form 1)


  • Removed monthly clinic total of gonorrhea episodes diagnosed and corresponding date



Attachment 3a:

(columns 14-16)


  • Removed ‘Date of birth’



Attachment 3a:

(column 20)


  • Removed ‘Reason for visit’



Attachment 3a:

(column 23)


  • Removed ‘Zipcode’


Page 1

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleACRF Changes from 2003 form to proposed 2010 form
Authorznt1
File Modified0000-00-00
File Created2021-01-29

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