Assessing The Infrastructure For Public Std Prevention Services

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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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All Historical Document Collections

201706-0920-006

Approved without change

New collection (Request for a new OMB Control Number)

2017-08-17

OMB Details

LHD Survey

Federal Enterprise Architecture: Health - Public Health Monitoring

Form NA

Local Health Department Survey

Form and instruction

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