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

ICR 201702-0920-010

OMB: 0920-1207

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Form
New
Supplementary Document
2017-02-15
Supplementary Document
2017-02-15
Supplementary Document
2017-02-15
Supplementary Document
2017-02-15
Supplementary Document
2017-02-15
Supplementary Document
2017-02-15
Supplementary Document
2017-02-15
Supplementary Document
2017-02-15
Supplementary Document
2017-02-15
Supplementary Document
2017-02-15
Supporting Statement B
2017-02-15
Supporting Statement A
2017-11-09
IC Document Collections
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

2
IC Title Form No. Form Name
Web Survey of STD Provider Practices none Survey of STD Provider Practices
Mail Survey of STD Provider Practices none Survey of STD Provider Practices

  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 sxw2@cdc.gov

  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


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