Information Collection Request

Aggregate Reports for Tuberculosis Program Evaluation

ICR 201307-0920-007 · OMB 0920-0457 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Follow-up and Treatment of Contacts to Tuberculosis Case Form Form and Instruction Modified Available
Targeted Testing and Treatment for Latent TB Infection - Program Managers- (manual) Form and Instruction Modified Available
Targeted Testing and Treatment for Latent TB Infection Form and Instruction Removed Repair queued
Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual) Form and Instruction Modified Available
Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers) Form and Instruction Modified Available
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - Program Managers- (Manual) Form and Instruction Modified Available
Follow-up and Treatment Form and Instruction Removed Available
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual Form and Instruction Modified Available
SSB.docx Supporting Statement B Uploaded 2013-07-15 Available
Att 1_Legislative Authority.pdf Supplementary Document Uploaded 2013-07-15 Available
SSA.docx Supporting Statement A Uploaded 2013-07-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6884 Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers) Form and Instruction ModifiedFollow-up and Treatment of Contacts to Tuberculosis Case Form
178821 0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual Form and Instruction ModifiedTargeted Testing and Treatment for Latent TB Infection - Program Managers- (manual)
178820 0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - elect. Form and Instruction RemovedTargeted Testing and Treatment for Latent TB Infection
178819 Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual) Form and Instruction ModifiedTargeted Testing and Treatment for Latent TB Infection - data clerks - (manual)
178818 Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers) Form and Instruction ModifiedTargeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers)
178817 Follow-up and Treatment for Contacts to TB Cases - Managers- manual Form and Instruction Modified0920-0457 - Follow-up and Treatment for Contacts to TB Cases - Program Managers- (Manual)
178816 0920-0457 - Follow-up and Treatment for Contacts to TB Cases - prog. managers - elect. Form and Instruction RemovedFollow-up and Treatment
178815 0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual Form and Instruction Modified0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2016 36 Months From Approved 09/30/2013
272 0 272
226 0 226
0 0 0





Reginfo record details
6
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 - manual None
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - prog. managers - elect. none
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - elect. none
0920-0457 Targeted Testing and Treatment for Latent TB Infection - prog. manag. - manual None
Follow-up and Treatment for Contacts to TB Cases - Managers- manual None
Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers) None
Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual) None
Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers) None

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


Reginfo record details
  No