Gonococcal Isolate Surveillance Project

OMB 0920-0307

The purpose of these forms is to continue to collect surveillance data on antimicrobial resistance in Neisseria gonorrhoeae. These data are used by public health officials at the national, state, and local level to determine appropriate therapy for gonorrhea. In addition, the data are used to monitor trends N. gonorrhoeae antimicrobial resistance and certain epidemiologic aspects of gonorrhea.

The latest form for Gonococcal Isolate Surveillance Project expires 2021-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Demographic/Clinical Data for Sites Conducting Core Surveillance Form
Demographic/Clinical Data Collection for Enhanced Surveillance - Molecular Form
Demographic/Clinical Data Collection for Enhanced Surveillance Form
Antimicrobial Susceptibility Testing Form
GISP PIA_0920-0307.pdf Supplementary Document
Att9 Changes to the ICR_final.docx Supplementary Document
Att8 Justification of Sensitive Data.docx Supplementary Document
Att6b Clinic and Laboratory Contacts.docx Supplementary Document
Att6a CDC Project Participants.docx Supplementary Document
Att5 IRB Determination.docx Supplementary Document
Att4 Visualization of Project Components.docx Supplementary Document
Att2 60 FRN Published 3-8-2021 GISP.pdf Supplementary Document
Att1 Authorizing Legislation.docx Supplementary Document
Supporting Statement B_.docx Supporting Statement B
Supporting Statement A_final.docx Supporting Statement A
Demographic/Clinical Data for Sites Conducting Core Surveillance Form
Demographic/Clinical Data Collection for Enhanced Surveillance - Molecular Form
Demographic/Clinical Data Collection for Enhanced Surveillance Form
Control Strain Susceptibility Testing Instruction
Antimicrobial Susceptibility Testing Form

All Historical Document Collections

202106-0920-007 Approved without change	Revision of a currently approved collection	2021-07-02
201805-0920-005 Approved without change	Revision of a currently approved collection	2018-07-20
201512-0920-005 Approved without change	Extension without change of a currently approved collection	2015-12-23
201408-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-08-19
201307-0920-009 Approved without change	Revision of a currently approved collection	2013-07-19
201012-0920-002 Approved without change	Extension without change of a currently approved collection	2010-12-01
200712-0920-007 Approved without change	Revision of a currently approved collection	2007-12-20
200410-0920-011 Approved with change	Revision of a currently approved collection	2004-10-25
200109-0920-003 Approved without change	Revision of a currently approved collection	2001-09-24
199809-0920-002 Approved without change	Extension without change of a currently approved collection	1998-09-30
199506-0920-007 Approved without change	Extension without change of a currently approved collection	1995-06-26
199206-0920-005 Approved without change	New collection (Request for a new OMB Control Number)	1992-06-24

OMB Details

Demographic/Clinical Data for Sites Conducting Core Surveillance

Federal Enterprise Architecture: Health - Public Health Monitoring

Form n/a

Core Demographic/Clinical Data

Fillable Fileable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.