Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Gonnorhea Case Surveillance New 120 1920 0 Form and Instruction none Case Surveillance by Health Department Manager
Gonorrhea Patient Interview New 3225 538 0 Form and Instruction none Patient Interview Script
STD Clinic-based Surveillance New 132 396 0 Form and Instruction none Facility Surveillance Data Elements
Total burden requested under this ICR: 3477 2854 0  
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