Information Collection Request

Aggregate Reports for Tuberculosis Program Evaluation

ICR 200702-0920-006 · OMB 0920-0457 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Follow-up and Treatment Form and Instruction Modified Available
Targeted Testing and Treatment for Latent TB Infection Form and Instruction New Available
Targeted Testing and Treatment for Latent TB Infection Form and Instruction New Available
Targeted Testing and Treatment for Latent TB Infection Form and Instruction New Available
Targeted Testing and Treatment for Latent TB Infection Form and Instruction New Available
Follow-up and Treatment Form and Instruction New Available
Follow-up and Treatment Form and Instruction New Available
Follow-up and Treatment Form and Instruction New Available
Attach A Legal Authorizations.doc Supplementary Document Uploaded 0000-00-00 Available
Attach B FR Notice 60 day.pdf Supplementary Document Uploaded 0000-00-00 Available
09200457 Renewal revised 21Feb2007 supporting statement.doc Supporting Statement A Uploaded 0000-00-00 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6884 0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - elect. Form and Instruction ModifiedFollow-up and Treatment
178821 0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual Form and Instruction NewTargeted Testing and Treatment for Latent TB Infection
178820 0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - elect. Form and Instruction NewTargeted Testing and Treatment for Latent TB Infection
178819 0920-0457 Targeted Testing and Treatment for Latent TB Infection - data clerks - manual Form and Instruction NewTargeted Testing and Treatment for Latent TB Infection
178818 0920-0457 Targeted Testing and Treatment for Latent TB Infection - data clerks - elect. Form and Instruction NewTargeted Testing and Treatment for Latent TB Infection
178817 0920-0457 - Follow-up and Treatment for Contacts to TB Cases - prog. managers - manual Form and Instruction NewFollow-up and Treatment
178816 0920-0457 - Follow-up and Treatment for Contacts to TB Cases - prog. managers - elect. Form and Instruction NewFollow-up and Treatment
178815 0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual Form and Instruction NewFollow-up and Treatment

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2010 36 Months From Approved 05/31/2007
272 0 68
226 0 340
0 0 0





Reginfo record details
8
table that charts list of burden
IC Title Form No. Form Name
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - elect. none
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual none
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - prog. managers - elect. none
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - prog. managers - manual none
0920-0457 Targeted Testing and Treatment for Latent TB Infection - data clerks - elect. none
0920-0457 Targeted Testing and Treatment for Latent TB Infection - data clerks - manual none
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - elect. none
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual none

table that charts list of burden
  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 272 68 0 204 0 0
Annual Time Burden (Hours) 226 340 0 -114 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No