Demographic/Clinical Data Collection for Enhanced Surveillance - Molecular

Gonococcal Isolate Surveillance Project

OMB: 0920-0307

IC ID: 248175

Information Collection (IC) Details

View Information Collection (IC)

Demographic/Clinical Data Collection for Enhanced Surveillance - Molecular
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form n/a Demographic/Clinical Data Elements for Sites Conducting Enhanced Surveillance Att3a2 (Enhanced surveillance clinical &demographic data).csv Yes Yes Fillable Fileable
Instruction Att7 Data Coding Guide.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0136: Epidemiologic Studies and Surveillance of Disease Problems. HHS/CDC”  57 FR 62812

10 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 8,400 0 0 8,400 0 0
Annual IC Time Burden (Hours) 1,680 0 0 1,680 0 0
Annual IC Cost Burden (Dollars) 32,390 0 0 32,390 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