Information Collection

Report of Verified Case of Tuberculosis

IC 6626 under ICR 200207-0920-002 · OMB 0920-0026.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Report of Verified Case of Tuberculosis	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	72.9A	Yes	Yes
Form	72.9B	Yes	Yes
Form	72.9C	Yes	Yes
Form	72.9	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	16,675	16,675
Annual IC Time Burden (Hours)	8,338	8,338
Annual IC Cost Burden (Dollars)	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.