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⚠️ Notice: This information collection may be referencing outdated material.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 Attachment 3 72.9A Report of Verified Case of Tuberculosis (RVCT) Form and Instruction
Attachment 3 72.9A CDC 72 9AB and C 0920-0026 Attachment 3 CDC 72 9AB and C.pdf Form and Instruction

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? No		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 and Instruction	Attachment 3 72.9A	CDC 72 9AB and C	0920-0026 Attachment 3 CDC 72 9AB and C.pdf		Yes	Yes	Fillable Printable

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	11,520	-2,280	13,800
Annual IC Time Burden (Hours)	6,720	-1,330	8,050
Annual IC Cost Burden (Dollars)	0	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.