[NCHHSTP] The STD Surveillance Network (SSuN)

OMB 0920-1072

OMB 0920-1072

The Enhanced STD Surveillance Network (eSSuN) is a network of local and state health departments (10) who perform active surveillance and provide detailed information on demographic characteristics, behavioral risk factors, and clinical history 1) on persons who attend participating STD clinics and Family planning/ Reproductive health clinics in one of the 10 cities around the US and 2) on a random sample of persons diagnosed with gonorrhea within the participating SSuN jurisdictions. This information will enable public health officials to understand important characteristics of persons tested, diagnosed, and treated for STDs, inform and guide state/local and national programs and policies for STD control, and identify and evaluate the effectiveness of public health interventions to reduce STD morbidity.

The latest form for [NCHHSTP] The STD Surveillance Network (SSuN) expires 2023-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material
OMB Details

Gonorrhea Patient Interview (Section 1)

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-1072Gonorrhea Patient Interview section 1NAForm and instruction

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


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