Information Collection Request

Gonococcal Isolate Surveillance Project

ICR 201512-0920-005 · OMB 0920-0307 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form CDC 73.60A Form 1 - Demographic/Clinical Data Form and Instruction Modified Available
Form CDC 73.60-C Form 3: Control Strain Susceptibility Testing Form and Instruction Modified Available
Form CDC 73.60-B Form 2 - Antimicrobial Susceptibility Testing Form and Instruction Modified Available
Att 7_Data coding guide.pdf Supplementary Document Uploaded 2015-12-16 Available
Att 6b - Non-CDCProjectParticipants.doc Supplementary Document Uploaded 2015-12-16 Available
Att 6a - CDC ProjectParticipants.doc Supplementary Document Uploaded 2015-12-16 Available
Att 5_IRB Determination.docx Supplementary Document Uploaded 2015-12-16 Available
Att 4_Screenshots.docx Supplementary Document Uploaded 2015-12-16 Available
Att 2_60 Day FRN Published.pdf Supplementary Document Uploaded 2015-12-15 Available
Att 8 Data Coding Dictionary.doc Supplementary Document Uploaded 2014-08-08 Available
SS_B_2015.docx Supporting Statement B Uploaded 2015-12-15 Available
Sup_Statement_A_122315.doc Supporting Statement A Uploaded 2015-12-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
6747 Form 1 - Demographic/Clinical Data Form and Instruction Modified
183167 Form 3: Control Strain Susceptibility Testing Form and Instruction Modified
183166 Form 2 - Antimicrobial Susceptibility Testing Form and Instruction Modified
ICR Details
0920-0307 201512-0920-005
Historical Active 201408-0920-004
HHS/CDC
Gonococcal Isolate Surveillance Project
Extension without change of a currently approved collection   No
Regular
Approved without change 02/22/2016
Retrieve Notice of Action (NOA) 12/23/2015
  Inventory as of this Action Requested Previously Approved
02/28/2019 36 Months From Approved 08/31/2016
14,700 0 14,700
8,628 0 8,628
0 0 0

The purpose of these forms is to continue to collect surveillance data on antimicrobial resistance in Neisseria gonorrhoeae. These data are used by public health officials at the national, state, and local level to determine appropriate therapy for gonorrhea. In addition, the data are used to monitor trends N. gonorrhoeae antimicrobial resistance and certain epidemiologic aspects of gonorrhea.

US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  80 FR 52289 08/28/2015
80 FR 76690 12/10/2015
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 14,700 14,700 0 0 0 0
Annual Time Burden (Hours) 8,628 8,628 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$806,900
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Thelma Sims 4046394771

  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.
12/23/2015