Screen shots

Final-0920-0307_GISP_Att 4 - screenshots.doc

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Form Approved

OMB No. 0920-0307

Exp. Date 03/31/2011

Gonococcal Isolate Surveillance Project

OMB 0920-0307

Robert Kirkcaldy, Project Officer

Attachment 4

Screen shots of web-based application

Screenshot of Form 1 Main Menu:

Screenshot of Form 1 data entry:

Screenshot of Form 2 and Form 3 Welcome Page:

Screenshot of Form 2 Main Menu:

Screenshot of Form 2 data entry:

Screenshot of Form 3 Main Menu:

Screenshot of Form 3 data entry:

Screenshot of Form 3 data entry (cont’d):

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