Information Collection

Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers)

IC 178818 under ICR 201307-0920-007 · OMB 0920-0457.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0457 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers)	Form and Instruction
Targeted Testing and Treatment for Latent Tuberculosis I Att 3b_Targeted Testing and Treatment for Latent TB InfectionForm.docx	Form and Instruction

IC Title:

Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers)

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 and Instruction	None	Targeted Testing and Treatment for Latent Tuberculosis Infection - Electronic (Data Clerks & Program Managers)	Att 3b_Targeted Testing and Treatment for Latent TB InfectionForm.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	100	50	50
Annual IC Time Burden (Hours)	50	25	25
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.