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Form 3: Control Strain Susceptibility Testing
Gonococcal Isolate Surveillance Project
OMB: 0920-0307
IC ID: 183167
OMB.report
HHS/CDC
OMB 0920-0307
ICR 201512-0920-005
IC 183167
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0307 can be found here:
2021-07-02 - Revision of a currently approved collection
2018-07-20 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form CDC 73.60-C
Form 3: Control Strain Susceptibility Testing
Form and Instruction
CDC 73.60-C Form 3: Control Strain Susceptibility Testing
Att 3c2_Form 3Control Strain Susceptibility Testing.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Form 3: Control Strain Susceptibility Testing
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
CDC 73.60-C
Form 3: Control Strain Susceptibility Testing
Att 3c2_Form 3Control Strain Susceptibility Testing.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
240
0
0
0
0
240
Annual IC Time Burden (Hours)
48
0
0
0
0
48
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.