Information Collection

Tuberculosis Statistics And Program Evaluation Activity

IC 110592 under ICR 197510-0920-003 · OMB 0920-0026.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0026 can be found here:

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Information Collection (IC) Details

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IC Title:	TUBERCULOSIS STATISTICS AND PROGRAM EVALUATION ACTIVITY	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CDC 5.1393				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,500	1,390	110
Annual IC Time Burden (Hours)	2,718	1,728	990
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.