STD Clinics (Waiting Room) Survey

[NCHHSTP] The STD Surveillance Network (SSuN)

OMB: 0920-1072

IC ID: 241634

Documents and Forms

Document Name Document Type
Form 0920-1072 STD Clinics (Waiting Room) Survey Form and Instruction
0920-1072 SSuN Gonorrhea and Syphilis Patient Interview & STD Clinic Patient Questionnaire Att8_InterviewForms_0920-1072_Rev2023.docx Form and Instruction
0920-1072 SSuN Data Elements Att5_DataElements_0920-1072_Rev2023.docx Form and Instruction