OMB control number
Assessing The Infrastructure For Public Std Prevention Services
OMB 0920-1210 ยท HHS/CDC.
OMB 0920-1210
The goal of this study is to monitor STD preventive and clinical treatment services provided by local and state health departments. Web surveys will be sent to a sample of 668 local health departments & all 50 state health departments. Reminders will be sent to non-responders in order to reach the target of 334 completed local health department & 44 state health departments. Data will be used to help CDC assess the delivery of timely public STD preventive and clinical services to reduce the number of newly acquired STDs and prevent STD-related sequelae.
The latest form for Assessing The Infrastructure For Public Std Prevention Services expires 2020-12-31 and is listed under ICR 201706-0920-006.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 SHD Survey | Form and Instruction |
| LHD Survey | Form and Instruction |
| SSB.docx | Supporting Statement B |
| SSA 0920-17NS Assessing Infrastructure 14AUG2017.docx | Supporting Statement A |
| Att 10_web survey reminders - LHD and SHD.docx | Supplementary Document |
| Att 9_Web Survey Invite LHD and SHD.docx | Supplementary Document |
 Att 2_60-Day FRN.pdf | Supplementary Document |
| Att 8_ProjectDeterminationForm.pdf | Supplementary Document |
| Att 7_Definitions for Survey Terms.docx | Supplementary Document |
 Att 1_Sect 301 PHSA.doc | Supplementary Document |
 SHD Survey |
Form and Instruction |
| LHD Survey |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201706-0920-006 | New collection (Request for a new OMB Control Number) | 2017-08-17 | Approved without change |
OMB Details
LHD Survey
Federal Enterprise Architecture: Health - Public Health Monitoring
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form NA | Local Health Department Survey | NA | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.