Information Collection Request

Report of Verified Case of Tuberculosis (RVCT)

ICR 200802-0920-007 · OMB 0920-0026 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CDC 72.9A Report of Verified Case of Tuberculosis (RVCT) Form Modified Available
Attachment 7.pdf Supplementary Document Uploaded 2008-01-24 Available
Attachment 6.doc Supplementary Document Uploaded 2008-01-24 Available
Attachment 5.pdf Supplementary Document Uploaded 2008-01-24 Repair queued
Attachment 5.pdf Supplementary Document Uploaded 2008-01-24 Available
Attachment 4.doc Supplementary Document Uploaded 2008-01-24 Available
Attachment 3.pdf Supplementary Document Uploaded 2008-01-24 Available
Attachment 2.pdf Supplementary Document Uploaded 2008-01-24 Available
Attachment_1.pdf Supplementary Document Uploaded 2008-01-24 Available
Part A V-PSSS.doc Supporting Statement A Uploaded 2008-02-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6627 Report of Verified Case of Tuberculosis (RVCT) Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2011 36 Months From Approved 11/30/2008
13,800 0 15,120
8,050 0 7,560
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Report of Verified Case of Tuberculosis (RVCT) CDC 72.9A Report of Verified Case of Tuberculosis

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 13,800 15,120 0 -1,320 0 0
Annual Time Burden (Hours) 8,050 7,560 0 490 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No