Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Data Cleaning/Validation/Transmission (Strategy A) Modified 72 2880 0 Form and Instruction 0920-26-0276
Data Cleaning/Validation/Transmissions (Strategy B) Modified 66 2640 0 Form and Instruction 0920-26-0276
Record Abstraction (STD Clinics) Modified 96 384 0 Form and Instruction 0920-26-0276
SSuN Gonorrhea & Syphilis Patient Interview (Random Sampling) Modified 6500 1083 0 Form and Instruction 0920-26-0276
Form and Instruction 0920-26-0276
STD Clinics (Waiting Room) Survey Modified 3000 250 0 Form and Instruction 0920-26-0276
Form and Instruction 0920-26-0276
Total burden requested under this ICR: 9734 7237 0  
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