Form Approved
OMB No. 0920-1072
Expiration Date ##/##/20##
Enhanced STD Surveillance Network (eSSuN)
Attachment 3B
eSSuN Facility Surveillance Data Elements
Public reporting burden of this collection of information is estimated to average 19 hours per response; these data elements were developed collaboratively and agreed upon by members of eSSuN and do not include information beyond what is routinely collected from patients during the clinical visit. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: CDC, Project Clearance Officer, 1600 Clifton Road, MS D-74, Atlanta, GA 30333, ATTN: PRA (0920-1072). Do not send the completed form to this address.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kevin Joyce |
| File Modified | 0000-00-00 |
| File Created | 2021-01-20 |