Report of Verified Case of Tuberculosis (RVCT)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form CDC 72.9A Report of Verified Case of Tuberculosis (RVCT) Form
CDC 72.9A Report of Verified Case of Tuberculosis Attachment 3.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Report of Verified Case of Tuberculosis (RVCT)	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CDC 72.9A	Report of Verified Case of Tuberculosis	Attachment 3.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

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	13,800	13,800
Annual IC Time Burden (Hours)	8,050	8,050
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.