Information Collection

Tuberculosis - State, Local Or Tribal Government

IC 189452 under ICR 200906-0579-008 · OMB 0579-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0146 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 6-38 TUBERCULOSIS - STATE, LOCAL OR TRIBAL GOVERNMENT	Form
VS 6-38 ACCREDITED AREA SURVEILLANCE FOR TUBERCULOSIS VS Form 6-38.doc	Form
VS 6-22C Tuberculin Test Record 6-22C.doc	Form
VS 6-22D Comparative Cervical Tuberculin Test Records vs6-22d.pdf	Form
MOU.2009.doc MOU	IC Document

IC Title:

TUBERCULOSIS - STATE, LOCAL OR TRIBAL GOVERNMENT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 77.4

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	VS 6-38	ACCREDITED AREA SURVEILLANCE FOR TUBERCULOSIS	VS Form 6-38.doc	No	Paper Only
Form	VS 6-22C	Tuberculin Test Record	6-22C.doc	No	Paper Only
Form	VS 6-22D	Comparative Cervical Tuberculin Test Records	vs6-22d.pdf	No	Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,165	2,165
Annual IC Time Burden (Hours)	3,952	3,952
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MOU	MOU.2009.doc	06/11/2009

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