Information Collection Request

Enhanced STD Surveillance Network

ICR 202004-0920-024 · OMB 0920-1072 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1072 STD Clinic Survey Form and Instruction New Available
Form 0920-1072 Early Syphilis Follow-up (Section 3) Form and Instruction Removed Available
Form 0920-1072 Early Syphilis Cases (Section 2) Form and Instruction Removed Available
Form 0920-1072 Gonorrhea Patient Interview (Section 1) Form and Instruction Modified Available
Att10_table of sensitive questions.docx Supplementary Document Uploaded 2020-04-30 Available
Att9_Det_NonResearch.pdf Supplementary Document Uploaded 2020-04-30 Available
Att7_eSSuNPublications.pdf Supplementary Document Uploaded 2020-04-30 Available
Att6_Collaborators.docx Supplementary Document Uploaded 2020-04-30 Available
Att5_DataElements_DataDisctionary.pdf Supplementary Document Uploaded 2020-04-30 Available
Att4_SSuNProtocol.pdf Supplementary Document Uploaded 2020-04-30 Available
Att3_SummaryofChanges.docx Supplementary Document Uploaded 2020-04-30 Available
Att2_60 Day FRN Published10-25-19.pdf Supplementary Document Uploaded 2020-04-30 Available
Att11_PIA.pdf Supplementary Document Uploaded 2020-04-30 Available
Att1_Auth_Legislation.docx Supplementary Document Uploaded 2020-04-30 Available
Att 11_0920-1072 PIA.pdf Supplementary Document Uploaded 2018-07-27 Repair queued
Att 10_Table of Potentially Sensitive Questions.pdf Supplementary Document Uploaded 2018-07-27 Available
Att 9_CDC Project Determination.pdf Supplementary Document Uploaded 2018-07-27 Available
Att 7_eSSuN_Presentations_Publication_Citations.pdf Supplementary Document Uploaded 2018-07-27 Available
Att 6_Collaborators.pdf Supplementary Document Uploaded 2018-07-27 Available
Att 4_Protocol.pdf Supplementary Document Uploaded 2018-07-27 Available
Att 3_Revisions final.docx Supplementary Document Uploaded 2018-07-27 Available
Att 2b Public comment.docx Supplementary Document Uploaded 2018-07-27 Available
Att 2_60 Day FRN Published.pdf Supplementary Document Uploaded 2018-07-27 Available
Att 1_Auth Legislation.pdf Supplementary Document Uploaded 2018-07-27 Available
Program responses.docx Supplementary Document Uploaded 2015-06-15 Available
SS B.docx Supporting Statement B Uploaded 2020-04-30 Available
SS A.docx Supporting Statement A Uploaded 2020-04-30 Available
IC Document Collections
IC IDCollectionTypeStatusForm
241635 HIV registry matching Other-HIV Registry New
241634 STD Clinic Survey Form and Instruction New
232379 Data Cleaning/Validation/Reformatting Other-Data Cleaning/Validation Modified
232378 Record Abstraction Other-Data Elements Modified
232377 Early Syphilis Follow-up (Section 3) Form and Instruction Removed
232376 Early Syphilis Cases (Section 2) Form and Instruction Removed
232371 Gonorrhea Patient Interview (Section 1) Form and Instruction Modified
ICR Details
0920-1072 202004-0920-024
Active 201807-0920-010
HHS/CDC 0920-1072
Enhanced STD Surveillance Network
Revision of a currently approved collection   No
Regular
Approved without change 10/09/2020
Retrieve Notice of Action (NOA) 04/30/2020
Previous terms continue: Approved consistent with the understanding that CDC will continue to describe (in the supporting statement) efforts taken to increase internal coordination of CDC activities to reduce burden on the states from multiple STD reporting systems.
  Inventory as of this Action Requested Previously Approved
10/31/2023 36 Months From Approved 09/30/2021
11,263 0 6,281
5,863 0 3,460
0 0 0

The Enhanced STD Surveillance Network (eSSuN) is a network of local and state health departments (10) who perform active surveillance and provide detailed information on demographic characteristics, behavioral risk factors, and clinical history 1) on persons who attend participating STD clinics and Family planning/ Reproductive health clinics in one of the 10 cities around the US and 2) on a random sample of persons diagnosed with gonorrhea within the participating SSuN jurisdictions. This information will enable public health officials to understand important characteristics of persons tested, diagnosed, and treated for STDs, inform and guide state/local and national programs and policies for STD control, and identify and evaluate the effectiveness of public health interventions to reduce STD morbidity.

US Code: 42 USC 41 Name of Law: PHSA
  
None

Not associated with rulemaking

  84 FR 57432 10/25/2019
85 FR 21237 04/16/2020
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 11,263 6,281 0 5,591 -609 0
Annual Time Burden (Hours) 5,863 3,460 0 2,488 -85 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The program changes include removal of 115 data elements from a retired activity, the addition of 87 data elements in the STD clinic and case-based surveillance components, and addition of an HIV registry matching activity for patients in STD clinics and reported cases of gonorrhea and adult syphilis.

$3,187,000
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
Odion Clunis 770 488-0045 [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.
04/30/2020