OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Survey of Sexually Transmitted Diseases (STD) Provider Policies and Practices in the United States

ICR 201702-0920-010 · OMB 0920-1207 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Web Survey of STD Provider Practices Form New Repair queued
Mail Survey of STD Provider Practices Form New Repair queued
Att 11_IRB approval.pdf Supplementary Document Uploaded 2017-02-15 Repair queued
Att 10_Thank you Letter.docx Supplementary Document Uploaded 2017-02-15 Repair queued
Att 9_Web Survey Reminder.docx Supplementary Document Uploaded 2017-02-15 Repair queued
Att 8_Web Survey Invite.docx Supplementary Document Uploaded 2017-02-15 Repair queued
Att 7_Mail Survey Reminder 2.docx Supplementary Document Uploaded 2017-02-15 Available
Att 6_ Mail Survey Reminder 1.docx Supplementary Document Uploaded 2017-02-15 Available
Att 5_Mail Survey Invite.docx Supplementary Document Uploaded 2017-02-15 Available
Att 2a_Public Comments_Responses.docx Supplementary Document Uploaded 2017-02-15 Repair queued
Att 2 60 Day FRN.pdf Supplementary Document Uploaded 2017-02-15 Available
Att 1_Sect 301 PHSA.doc Supplementary Document Uploaded 2017-02-15 Available
SSB.docx Supporting Statement B Uploaded 2017-02-15 Available
0920-16BFQ_SSA_Survey of STD Provider policies clean11-09.docx Supporting Statement A Uploaded 2017-11-09 Available
IC Document Collections
IC IDCollectionTypeStatusForm
225725 Web Survey of STD Provider Practices Form New
225724 Mail Survey of STD Provider Practices Form New
ICR Details
0920-1207 201702-0920-010
Historical Active
HHS/CDC 16BFQ
Survey of Sexually Transmitted Diseases (STD) Provider Policies and Practices in the United States
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 11/17/2017
Retrieve Notice of Action (NOA) 03/28/2017
  Inventory as of this Action Requested Previously Approved
11/30/2020 36 Months From Approved
3,500 0 0
1,342 0 0
0 0 0
The goal of the study is to better understand policies and practices for STD care delivery among medical providers in 5 specialties. A secondary goal is to assess awareness and use of CDC STD treatment guidelines. The survey will allow DSTDP to make comparisons over time for provider practices related to STD screening, clinical actions and partner notification.
US Code: 42 USC 241 Name of Law: PHSA
  
None
Not associated with rulemaking
  81 FR 68417 10/04/2016
82 FR 15221 03/27/2017
Yes
  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 3,500 0 0 3,500 0 0
Annual Time Burden (Hours) 1,342 0 0 1,342 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.
$465,248
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]
  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.
03/28/2017