Information Collection

AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae

IC 258566 under ICR 202512-0920-010 · OMB 0920-1310.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1310 can be found here:

Documents and Forms

Document Name Document Type
AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae Form and Instruction
AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae (SHARP) AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae Form and Instruction
AR Lab Network Alert and Monthly Data Report Form for Ne Attachment 3f_AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae_final.docx Form and Instruction
AR Lab Network Alert and Monthly Data Report Form for Ne Attachment 3f_AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae_final.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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	n/a	AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae (SHARP)	Attachment 3f_AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae_final.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,581	1,581
Annual IC Time Burden (Hours)	158	158
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.

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