Health Department Homeless TB Data Collection Instrument

Surveys of State, Tribal, Local and Territorial (STLT) Governmental Health Agencies

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0879 can be found here:

Document [docx]

Download: docx | pdf

Local Program Interventions Addressing TB among Persons Experiencing Homelessness

Form Approved

OMB no.0920-0879

Expiration Date 03/31/2014

ATTACHMENT C: Health Department Homeless TB Data Collection Instrument (screen shot)

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title	Local Program Interventions Addressing TB among Persons Experiencing Homelessness
Author	Bamrah Morris, Sapna (CDC/OID/NCHHSTP)
File Modified	0000-00-00
File Created	2021-01-31