Strengthening US Response to Resistant Gonorrhea (SURRG)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SSA.docx	Supporting Statement A	Uploaded 2018-07-19	Available
Att 6 PIA_SURRG FINAL 6-14-18.pdf	Supplementary Document	Uploaded 2018-07-19	Available
Att 5_SURRG Non-Research Determination-and-Approval-Form_FNL_6-20-17.pdf	Supplementary Document	Uploaded 2018-07-19	Available
Att 4_List of Collaborators.docx	Supplementary Document	Uploaded 2018-07-19	Available
Att 2 60 Day.pdf	Supplementary Document	Uploaded 2018-07-19	Available
Att 1_Authorizing Legislation.docx	Supplementary Document	Uploaded 2018-07-19	Available
SSB_CLEAN.DOCX	Supporting Statement B	Uploaded 2018-07-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
232307	Field Investigation Data Elements	Other-Data elements	New
232306	Lab Data Elements for Lab Data Manager	Other-Data elements	New
232305	Lab Data Elements for Lab Microbiologist	Other-Data elements	New
232304	Non-STD Clinic Data Elements	Other-Data elements	New
232302	STD Clinic Data Elements	Other-Data elements	New

ICR Details

OMB Control No: 0920-1242	ICR Reference No: 201807-0920-007
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-17BAN
Title: Strengthening US Response to Resistant Gonorrhea (SURRG)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/12/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/08/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	36 Months From Approved
Responses	7,605	0	0
Time Burden (Hours)	2,976	0	0
Cost Burden (Dollars)	109,751	0	0

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Abstract: The purpose of this data collection is to guide national recommendations and programmatic responses to antibiotic resistant Neisseria gonorrhoeae. These data will be used by public health officials at the national, state, and local levels to monitor trends in antimicrobial resistant gonorrhea, investigate epidemiologic aspects of gonorrhea, evaluate the effectiveness of strategies employed to slow or stop the spread of resistant gonorrhea, and identify new opportunities for public health interventions.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: PHSA
  

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:
	82 FR 53501	11/15/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 38694	08/07/2018
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Field Investigation Data Elements
Lab Data Elements for Lab Data Manager
Lab Data Elements for Lab Microbiologist
Non-STD Clinic Data Elements
STD Clinic Data Elements

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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	7,605	0	0	7,605	0	0
Annual Time Burden (Hours)	2,976	0	0	2,976	0	0
Annual Cost Burden (Dollars)	109,751	0	0	109,751	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 new ICR.

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Annual Cost to Federal Government: $5,654,830

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 08/08/2018

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