OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Network Epidemiology of Syphilis Transmission (NEST)

OMB 0920-1248 ยท HHS/CDC.

OMB 0920-1248

The Network Epidemiology of Syphilis Transmission (NEST) study will help inform methodologies for the collection of complex sexual network data among men who have sex with men (MSM) who are at high risk for syphilis in the United States. NEST will help to address knowledge gaps in the epidemiology of syphilis among this population of individuals.

The latest form for Network Epidemiology of Syphilis Transmission (NEST) expires 2021-12-31 and is listed under ICR 201808-0920-013.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Smartphone Survey - Study ParticipantForm and Instruction
NEST Survey - Study ParticipantForm and Instruction
NEST Data Elements - Site Data ManagerForm and Instruction
ScreenerForm and Instruction
Att 3b_Data elements summary and source_11092018.docx Supplementary Document
CDC Syphilis SSB_11092018.docxSupporting Statement B
CDC Syphilis SSA_11092018.docSupporting Statement A
OSU IRB approval_July 2018.pdf Supplementary Document
Baltimore_IRB approval letter.pdf Supplementary Document
Att 10 PIA NEST.pdf Supplementary Document
Att 8_Non research determination.pdf Supplementary Document
Att 7_Project Personnel.doc Supplementary Document
Att 6_Consent Form_11092018.doc Supplementary Document
Att 2A_Public Comments.pdf Supplementary Document
Att 1_Public Health Service Act.pdf Supplementary Document
Smartphone Survey - Study Participant Form and Instruction
NEST Survey - Study Participant Form and Instruction
NEST Data Elements - Site Data Manager Form and Instruction
Screener Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201808-0920-013 New collection (Request for a new OMB Control Number) 2018-09-25 Approved with change

OMB Details

Screener

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form NAEligibility ScreenerNAForm and instruction

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