Record Abstraction

Enhanced STD Surveillance Network

OMB: 0920-1072

IC ID: 232378

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Record Abstraction 0920-1072
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data Elements Att5_DataElements_DataDisctionary.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

11 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 11 0 -49 0 0 60
Annual IC Time Burden (Hours) 264 0 84 0 0 180
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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