OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Nationally Notifiable Sexually Transmitted Disease (STD) Morbidity Surveillance

ICR 201211-0920-010 · OMB 0920-0819 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form no form number City and County Health Departments Form and Instruction New Available
Form no form number Territorial Health Agencies Form and Instruction New Available
Form no form number State Health Departments Form and Instruction Modified Available
Supporting Statement B.doc Supporting Statement B Uploaded 2012-11-19 Available
ATT1_legislation.doc Supplementary Document Uploaded 2012-11-19 Available
ATT7_STD_NETSS_record_layout.pdf Supplementary Document Uploaded 2012-11-19 Available
ATT6_Data Infomation Flow.doc Supplementary Document Uploaded 2012-11-19 Repair queued
ATT5_Memo SDMB ResponseOMB Ques.doc Supplementary Document Uploaded 2012-11-19 Available
ATT4_CSTEguide.doc Supplementary Document Uploaded 2012-11-19 Repair queued
Supporting Statement A.docx Supporting Statement A Uploaded 2012-11-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
204920 City and County Health Departments Form and Instruction New
204919 Territorial Health Agencies Form and Instruction New
188706 State Health Departments Form and Instruction Modified
ICR Details
0920-0819 201211-0920-010
Historical Active 200904-0920-006
HHS/CDC
Nationally Notifiable Sexually Transmitted Disease (STD) Morbidity Surveillance
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 02/01/2013
Retrieve Notice of Action (NOA) 11/21/2012
  Inventory as of this Action Requested Previously Approved
02/29/2016 36 Months From Approved
2,964 0 0
989 0 0
0 0 0
The CDC is responsible for the reporting and dissemination of nationally notifiable STD morbidity information for prevention and control purposes in collaboration with state and local health departments. CDC is proposing to continue electronic information collection with a title change to "Nationally Notifiable Sexually Transmitted Disease (STD) Morbidity Surveillance", which will include information on laboratory confirmation of syphilis infection and risk behaviors of persons infected with syphilis and other STDs. The Nationally Notifiable Sexually Transmitted Disease (STD) Morbidity Surveillance data will identify population subgroups at increased risk for STDs, accommodate evidence-based intervention strategies, evaluate the impact of ongoing control efforts and generally enhance our understanding of STD transmission.
US Code: 3 USC 301 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  77 FR 50698 08/22/2012
77 FR 68782 11/16/2012
No
  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 2,964 0 0 2,964 0 0
Annual Time Burden (Hours) 989 0 0 989 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a reinstatement with change of the electronic data collection to change the title to "Nationally Notifiable Sexually Transmitted Disease (STD) Morbidity Surveillance".
$321,322
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Petunia Gissendaner 4046390164
  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.
11/21/2012