Aggregate Reports for Tuberculosis Program Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Follow-up and Treatment	Form and Instruction	Modified	Available
Targeted Testing and Treatment for Latent TB Infection	Form and Instruction	Modified	Repair queued
Targeted Testing and Treatment for Latent TB Infection	Form and Instruction	Modified	Available
Targeted Testing and Treatment for Latent TB Infection	Form and Instruction	Modified	Available
Targeted Testing and Treatment for Latent TB Infection	Form and Instruction	Modified	Available
Follow-up and Treatment	Form and Instruction	Modified	Repair queued
Follow-up and Treatment	Form and Instruction	Modified	Available
Follow-up and Treatment	Form and Instruction	Modified	Available
Final_0920-0457_Attachment 2 60-day FRN.pdf	Supplementary Document	Uploaded 2010-07-28	Available
Final_0920-0457_Attachment1_Legislative Authority.pdf	Supplementary Document	Uploaded 2010-07-28	Available
Final_0920-0457_Supporting Statement A.docx	Supporting Statement A	Uploaded 2010-07-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6884	0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - elect.	Form and Instruction	Modified	Follow-up and Treatment
178821	0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual	Form and Instruction	Modified	Targeted Testing and Treatment for Latent TB Infection
178820	0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - elect.	Form and Instruction	Modified	Targeted Testing and Treatment for Latent TB Infection
178819	0920-0457 Targeted Testing and Treatment for Latent TB Infection - data clerks - manual	Form and Instruction	Modified	Targeted Testing and Treatment for Latent TB Infection
178818	0920-0457 Targeted Testing and Treatment for Latent TB Infection - data clerks - elect.	Form and Instruction	Modified	Targeted 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	Modified	Follow-up and Treatment
178816	0920-0457 - Follow-up and Treatment for Contacts to TB Cases - prog. managers - elect.	Form and Instruction	Modified	Follow-up and Treatment
178815	0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual	Form and Instruction	Modified	Follow-up and Treatment

ICR Details

OMB Control No: 0920-0457	ICR Reference No: 201008-0920-008
Status: Historical Active	Previous ICR Reference No: 200702-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Aggregate Reports for Tuberculosis Program Evaluation
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/19/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/17/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2013	36 Months From Approved
Responses	272	0	0
Time Burden (Hours)	226	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request for reinstatement with change. Changes within this information collection request (ICR) reflect an increase in the annual cost to the government. The increased cost is due to increases in salaries of personnel conducting data collection and analysis since the last ICR approval. CDC uses the summary U.S. results in assessing the national progress toward TB elimination.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service - Research and Investigations generally
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 17922	04/08/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 43986	07/27/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 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	Follow-up and Treatment
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual	none	Follow-up and Treatment
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - prog. managers - elect.	none	Follow-up and Treatment
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - prog. managers - manual	none	Follow-up and Treatment
0920-0457 Targeted Testing and Treatment for Latent TB Infection - data clerks - elect.	none	Targeted Testing and Treatment for Latent TB Infection
0920-0457 Targeted Testing and Treatment for Latent TB Infection - data clerks - manual	none	Targeted Testing and Treatment for Latent TB Infection
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - elect.	none	Targeted Testing and Treatment for Latent TB Infection
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual	none	Targeted Testing and Treatment for Latent TB Infection

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ICR Summary of Burden

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	0	0	272	0	0
Annual Time Burden (Hours)	226	0	0	226	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a reinstatement. There are no program changes or adjustments.

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Annual Cost to Federal Government: $67,975

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/17/2010

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