TB Instrument - Word

ATTACHMENT A- Data Collection Instrument_Word Version docx.docx

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

TB Instrument - Word

OMB: 0920-0879

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Attachment A: Data Collection Instrument – Word Version Form Approved

OMB No. 0920-0879

Exp. Date 03/31/2014




2015 FOA – OMB Data Collection Questions


1. Please describe your experience implementing activities required under the current

Cooperative Agreement (CoAg, 2010-2014)


2. What challenges did your program experience meeting the expectations under the core components in the current Funding Opportunity Announcement (FOA)?


3. What challenges did your program experience meeting the reporting requirements in the current FOA?


4. What changes in expectations for program activities should be considered that would improve your program’s ability to meet essential components of TB prevention and control?


5. What changes in expectations for reporting requirements should be considered that would improve your program’s ability to meet national TB program objectives?


6. What additional ideas should be considered for inclusion in the FOA that would address current challenges?


7. How could the FOA better strengthen control and laboratory program interaction and joint effectiveness?


8. How could the FOA improve the timeliness and usefulness of genotyping information in the national surveillance system?





Public reporting burden of this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74,  Atlanta, Georgia 30333; ATTN:  PRA (0920-0879).



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