Data Cleaning/Validation/Transmission (Strategy A)

[NCHHSTP] The STD Surveillance Network (SSuN)

Documents and Forms

Document Name Document Type
Form 0920-1072 Data Cleaning/Validation/Transmission (Strategy A) Form and Instruction
0920-1072 SSuN Data Elements Att5_DataElements_0920-1072_Rev2023.docx Form and Instruction
0920-1072 SSuN Data Elements Att5_DataElements_0920-1072_Rev2023.docx Form and Instruction
Att6_Collaborators_0920-1072_Rev2023.docx Revised List of Collaborators IC Document
Att6_Collaborators_0920-1072_Rev2023.docx Revised List of Collaborators IC Document

Information Collection (IC) Details

IC Title:	Data Cleaning/Validation/Transmission (Strategy A)	Agency IC Tracking Number:	0920-1072

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1072	SSuN Data Elements	Att5_DataElements_0920-1072_Rev2023.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	66	55	11
Annual IC Time Burden (Hours)	2,640	-528	3,168
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Revised List of Collaborators	Att6_Collaborators_0920-1072_Rev2023.docx	07/18/2023

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