INDOCHINESE REFUGEES WITH TUBERCULOSIS

ICR 198102-0920-004

OMB: 0920-0044

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
165690 Migrated
ICR Details
0920-0044 198102-0920-004
Historical Active 198009-0920-002
HHS/CDC
INDOCHINESE REFUGEES WITH TUBERCULOSIS
No material or nonsubstantive change to a currently approved collection   No
Emergency 02/03/1981
Approved with change 02/03/1981
Retrieve Notice of Action (NOA) 02/03/1981
  Inventory as of this Action Requested Previously Approved
03/31/1981 03/31/1981 03/31/1981
112 0 112
380 0 380
0 0 0

A SYSTEM DESIGNED TO MEASURE, REPORT, AND PROVIDE SURVEILLANCE OVER INDOCHINESE REFUGEES ENTERING THE U.S. WITH SUSPECTED ACTIVE OR INACTIVE TUBERCULOSIS. MEASURES THE IMPACT OF THIS HEALTH CONDITION ON THE PHYSICAL AND FISCAL RESOURCES OF STATE AND LOCAL HEALTH PROVIDERS.

None
None


No

1
IC Title Form No. Form Name
INDOCHINESE REFUGEES WITH TUBERCULOSIS CDC 5.81

  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 112 112 0 0 0 0
Annual Time Burden (Hours) 380 380 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
02/03/1981


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