1. Assessment of Internet Partner Services (IPS) Activities in STD Programs

 
Form approved
OMB No. 0920-0879
Expiration Date 03/31/2014


Welcome!

Thank you for agreeing to participate. This assessment was developed to help the CDC Division of STD Prevention better understand the current status of IPS activities nationwide. The information in this assessment will be used to help identify technical assistance needs and future training opportunities. The assessment should take no more than 25 minutes to complete and your participation is completely voluntary. All information obtained from your responses will be kept secure and you may opt to complete the assessment anonymously. Aggregate data may be shared broadly through publications or other methods, such as webinars or training, but site- or individual - specific data will only be shared with permission from the site or individual. If you have any questions or comments about this assessment, you may contact Frank Strona at FHS3@cdc.gov or 415-355-2016


For the purposes of this assessment, we have defined IPS as the use of the internet and other technologies (e.g. texting) to conduct partner services, including partner notification (PN), and/or for record searches and gathering personally identifiable information for STD/HIV prevention and control purposes.

IPS activities do not include outreach or outreach activities such as recruitment to testing and screening events, promotion of health resources, etc.

Public reporting burden of this collection of information is estimated to average 25 minutes, per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0879).


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