Information Collection

Tuberculosis Statistics And Program Evaluation Activity

IC 110597 under ICR 199004-0920-002 · OMB 0920-0026.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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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.	Available Electronically?	Can Be Submitted Electronically?
Form	CDC 72.9	No	No
Form	CDC 5.63	No	No
Form	72.6	No	No
Form	72.14, 72.20	No	No
Form	72.21, 72.15	No	No
Form	5.1393	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 116	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	23,686	0	23,686
Annual IC Time Burden (Hours)	3,161	8	3,153
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.