Core Demographic/Clinical Data

Gonococcal Isolate Surveillance Project

Att 3a1_core clinic data.pptx

Demographic/Clinical Data for Sites Conducting Core Surveillance

OMB: 0920-0307

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0307 can be found here:

2021-07-02 - Revision of a currently approved collection

Document [pptx]

Download: pptx | pdf

Gonococcal Isolate Surveillance Project

OMB 0920-0307

Sancta St. Cyr, Project Officer

Attachment 3a1

Demographic/Clinical Data – used by sentinel
sites completing core activities (form)

File Type	application/vnd.openxmlformats-officedocument.presentationml.presentation
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File Created	0000-00-00