View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-1072
ICR Reference No:
201807-0920-010
Status:
Historical Active
Previous ICR Reference No:
201412-0920-010
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-1072
Title:
Enhanced STD Surveillance Network
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
09/12/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/08/2018
Terms of Clearance:
Approved consistent with the understanding that CDC will continue to discribe (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
Expiration Date
09/30/2021
36 Months From Approved
06/30/2018
Responses
6,281
0
3,477
Time Burden (Hours)
3,460
0
2,854
Cost Burden (Dollars)
0
0
0
Abstract:
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.
Authorizing Statute(s):
US Code:
42 USC 41
Name of Law: PHSA
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
83 FR 11532
03/15/2018
30-day Notice:
Federal Register Citation:
Citation Date:
83 FR 39100
08/08/2018
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Data Cleaning/Validation/Reformatting
Early Syphilis Cases (Section 2)
0920-1072
Early Syphilis Cases (Section 2)
Early Syphilis Follow-up (Section 3)
0920-1072
Early Syphilis Follow-up (Section 3)
Gonnorhea Case Surveillance
none
Case Surveillance by Health Department Manager
Gonorrhea Patient Interview
none
Patient Interview Script
Gonorrhea Patient Interview (Section 1)
0920-1072
Gonorrhea Patient Interview section 1
Record Abstraction
STD Clinic-based Surveillance
none
Facility Surveillance Data Elements
ICR Summary of Burden
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
6,281
3,477
0
6,281
-3,477
0
Annual Time Burden (Hours)
3,460
2,854
0
3,460
-2,854
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Burden differences due to modifications in the number of respondents and collection instruments.
Annual Cost to Federal Government:
$3,054,367
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Kevin Joyce 404 639-1944 kdj7@cdc.gov
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
08/08/2018