STD Clinic-based Surveillance

Enhanced STD Surveillance Network

OMB: 0920-1072

IC ID: 214279

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

STD Clinic-based Surveillance
 
No Removed
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Facility Surveillance Data Elements Att 3B facilityDataElements.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

22 0
   
State, Local, and Tribal Governments
 
   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 0 0 0 -132 0 132
Annual IC Time Burden (Hours) 0 0 0 -396 0 396
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy