Information Collection

MPEP for M. TB and non-tuberculous Mycobacteria Drug Susceptibility Testing Enrollment Form

IC 46481 under ICR 201105-0920-008 · OMB 0920-0600.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0600 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MPEP for M. TB and non-tuberculous Mycobacteria Drug Susceptibility Testing Enrollment Form	Form
Enrollment form 0920-0600 Attachment 3a Enrollment Form (2).doc	Form
0920-0600 Attachment 3b Program Description.doc Program description	IC Document
0920-0600 Attachment 3c Acceptance Letter Template.doc Acceptance letter	IC Document

IC Title:

MPEP for M. TB and non-tuberculous Mycobacteria Drug Susceptibility Testing Enrollment Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Enrollment form	0920-0600 Attachment 3a Enrollment Form (2).doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Program description	0920-0600 Attachment 3b Program Description.doc	12/16/2009
Acceptance letter	0920-0600 Attachment 3c Acceptance Letter Template.doc	12/16/2009

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