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Federal forms, ICRs, and supporting documents

Information Collection Request

Operations and Scope of Public STD Clinics in the US States and Territories

ICR 200502-0920-002 · OMB 0920-0683 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7152 Operations and Scope of Public STD Clinics in the US States and Territories Migrated
ICR Details
0920-0683 200502-0920-002
Historical Active
HHS/CDC
Operations and Scope of Public STD Clinics in the US States and Territories
New collection (Request for a new OMB Control Number)   No
Emergency 02/15/2005
Approved with change 05/25/2005
Retrieve Notice of Action (NOA) 02/02/2005
Approved consistent with the following terms of clearance: CDC is reminded to avoid future violations of the Paperwork Reduction Act, upon completion of this collection CDC shall provide a report to OMB detailing response rates and a summary of results.
  Inventory as of this Action Requested Previously Approved
11/30/2005 11/30/2005
2,800 0 0
700 0 0
0 0 0
Public facilities that provide STD care services will be surveyed to determine the number and location of public STD clinics and the services provided. Clinic information can be used to supplement the referral database for the CDC National STD and AIDS Hotline, assist the STD clinics in networking with one another, and provide professionals working with STDs a more accurate picture of the clinics and the communities they serve.
None
None
No
1
IC Title Form No. Form Name
Operations and Scope of Public STD Clinics in the US States and Territories
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,800 0 0 2,800 0 0
Annual Time Burden (Hours) 700 0 0 700 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/02/2005