[NCHHSTP] The STD Surveillance Network (SSuN)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1072 SSuN Data Elements	Form and Instruction	Modified	Available
Form 0920-1072 Data Cleaning/Validation/Transmissions (Strategy B)	Form and Instruction	Modified	Missing upstream
Form 0920-1072 SSuN Data Elements	Form and Instruction	Modified	Available
Form 0920-1072 SSuN Gonorrhea and Syphilis Patient Interview & STD Clinic Patient Questionnaire	Form and Instruction	Modified	Available
Form 0920-1072 STD Clinics (Waiting Room) Survey	Form and Instruction	Modified	Available
Form 0920-1072 SSuN Data Elements	Form and Instruction	Modified	Available
Form 0920-1072 Data Cleaning/Validation/Transmission (Strategy A)	Form and Instruction	Modified	Missing upstream
Form 0920-1072 SSuN Data Elements	Form and Instruction	Modified	Available
Form 0920-1072 Record Abstraction (STD Clinics)	Form and Instruction	Modified	Repair queued
Form 0920-1072 SSuN Data Elements	Form and Instruction	Modified	Repair queued
Form 0920-1072 SSuN Gonorrhea and Syphilis Patient Interview & STD Clinic Patient Questionnaire	Form and Instruction	Modified	Available
Form 0920-1072 SSuN Gonorrhea & Syphilis Patient Interview (Random Sampling)	Form and Instruction	Modified	Repair queued
Change Request Memo.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-05-22	Available
Change Request Memo.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-05-22	Repair queued
Att11_PIA_0920-1072.pdf	Supplementary Document	Uploaded 2023-07-18	Repair queued
Att11_PIA_0920-1072.pdf	Supplementary Document	Uploaded 2023-07-18	Missing upstream
Att 10_TableofSensitiveQuestions_Clean.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Att 10_TableofSensitiveQuestions_Clean.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Att9_SSuNDeterminationofNonResearch_0920-1073_Rev2023.pdf	Supplementary Document	Uploaded 2023-07-18	Repair queued
Att9_SSuNDeterminationofNonResearch_0920-1073_Rev2023.pdf	Supplementary Document	Uploaded 2023-07-18	Available
Att7_SSuN_Publications_0960-1072_Rev2023.pdf	Supplementary Document	Uploaded 2023-07-18	Available
Att7_SSuN_Publications_0960-1072_Rev2023.pdf	Supplementary Document	Uploaded 2023-07-18	Missing upstream
Att6_Collaborators_0920-1072_Rev2023.docx	Supplementary Document	Uploaded 2023-07-18	Available
Att6_Collaborators_0920-1072_Rev2023.docx	Supplementary Document	Uploaded 2023-07-18	Repair queued
Att 4_Protocol_Clean.docx	Supplementary Document	Uploaded 2025-05-22	Available
Att 4_Protocol_Clean.docx	Supplementary Document	Uploaded 2025-05-22	Repair queued
Att3_30Day_SummaryofChanges_0920-1072_Revision2023.docx	Supplementary Document	Uploaded 2023-07-18	Repair queued
Att3_30Day_SummaryofChanges_0920-1072_Revision2023.docx	Supplementary Document	Uploaded 2023-07-18	Available
Att2b_60_Day_FRN_Comments.docx	Supplementary Document	Uploaded 2023-07-18	Available
Att2b_60_Day_FRN_Comments.docx	Supplementary Document	Uploaded 2023-07-18	Repair queued
Att2a_60_Day_FRN_Pub_3-10-2023.pdf	Supplementary Document	Uploaded 2023-07-18	Available
Att2a_60_Day_FRN_Pub_3-10-2023.pdf	Supplementary Document	Uploaded 2023-07-18	Missing upstream
Att1_Auth_Legislation_0920-1072_Rev2023.docx	Supplementary Document	Uploaded 2023-07-18	Available
Att1_Auth_Legislation_0920-1072_Rev2023.docx	Supplementary Document	Uploaded 2023-07-18	Repair queued
SSB_Clean.docx	Supporting Statement B	Uploaded 2025-05-22	Available
SSB_Clean.docx	Supporting Statement B	Uploaded 2025-05-22	Repair queued
SSA_Clean.docx	Supporting Statement A	Uploaded 2025-05-22	Available
SSA_Clean.docx	Supporting Statement A	Uploaded 2025-05-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
241635	Data Cleaning/Validation/Transmissions (Strategy B)	Form and Instruction	Modified	SSuN Data Elements
241635	Data Cleaning/Validation/Transmissions (Strategy B)	Form and Instruction	Modified
241634	STD Clinics (Waiting Room) Survey	Form and Instruction	Modified	SSuN Data Elements
241634	STD Clinics (Waiting Room) Survey	Form and Instruction	Modified	SSuN Gonorrhea and Syphilis Patient Interview & STD Clinic Patient Questionnaire
241634	STD Clinics (Waiting Room) Survey	Form and Instruction	Modified
232379	Data Cleaning/Validation/Transmission (Strategy A)	Form and Instruction	Modified	SSuN Data Elements
232379	Data Cleaning/Validation/Transmission (Strategy A)	Form and Instruction	Modified
232378	Record Abstraction (STD Clinics)	Form and Instruction	Modified	SSuN Data Elements
232378	Record Abstraction (STD Clinics)	Form and Instruction	Modified
232371	SSuN Gonorrhea & Syphilis Patient Interview (Random Sampling)	Form and Instruction	Modified	SSuN Data Elements
232371	SSuN Gonorrhea & Syphilis Patient Interview (Random Sampling)	Form and Instruction	Modified	SSuN Gonorrhea and Syphilis Patient Interview & STD Clinic Patient Questionnaire
232371	SSuN Gonorrhea & Syphilis Patient Interview (Random Sampling)	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1072	ICR Reference No: 202503-0920-019
Status: Active	Previous ICR Reference No: 202306-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-25-0049
Title: [NCHHSTP] The STD Surveillance Network (SSuN)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/09/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/28/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2026	09/30/2026	09/30/2026
Responses	8,372	0	8,372
Time Burden (Hours)	7,487	0	7,487
Cost Burden (Dollars)	0	0	0

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Abstract: The STD Surveillance Network provides critical clinical, demographic and behavioral information through enhanced and sentinel surveillance among people diagnosed with gonorrhea, syphilis and those persons seeking care at STD clinics in order to enhance STD surveillance data, to inform a more comprehensive understanding of epidemiologic trends and determinants of STDs of interest, monitor public health program impact and provide a more robust evidence base for directing public health action. This change request is to adhere to recent executive orders.

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Authorizing Statute(s): PL: Pub.L. 301 - 356 301.[241](a) Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 15026	03/10/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 50153	08/01/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Data Cleaning/Validation/Transmission (Strategy A)	0920-1072	SSuN Data Elements
Data Cleaning/Validation/Transmissions (Strategy B)	0920-1072	SSuN Data Elements
Record Abstraction (STD Clinics)	0920-1072	SSuN Data Elements
SSuN Gonorrhea & Syphilis Patient Interview (Random Sampling)	0920-1072, 0920-1072	SSuN Gonorrhea and Syphilis Patient Interview & STD Clinic Patient Questionnaire ,   SSuN Data Elements
STD Clinics (Waiting Room) Survey	0920-1072, 0920-1072	SSuN Gonorrhea and Syphilis Patient Interview & STD Clinic Patient Questionnaire ,   SSuN Data Elements

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	8,372	8,372	0	0	0	0
Annual Time Burden (Hours)	7,487	7,487	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The program changes include removal of 115 data elements from a retired activity, the addition of 87 data elements in the STD clinic and case-based surveillance components, and addition of an HIV registry matching activity for patients in STD clinics and reported cases of gonorrhea and adult syphilis. The total annualized burden will change from 5,863 hours to 7,510. Specifically, the changes in the estimates of burden are primarily accounted for by the following: Future expansion to include up to 40 STD clinical facilities.

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Annual Cost to Federal Government: $3,187,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/28/2025

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