GenIC XDRCI-COST

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

Attachment_E_Phone_script_followup_instrument

GenIC XDRCI-COST

OMB: 0920-0879

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Attachment E. Phone Script for Follow Up Instrument

XDR TB Contact Investigation: A Cost Assessment


Form Approved

OMB No. 0920-0879

Expiration Date 03/31/2018


Thank you again for your work in assembling and reporting the data


  1. Do you have any data to add or update?

    1. Have you reclassified any contacts?

    2. Have any contacts developed TB disease?

    3. Have you had, or do you foresee any changes in protocol?

    4. Have you had, or do your foresee any changes in personnel?

  2. Going through the data we compiled last time, I have the following questions.

    1. Discuss any inconsistencies or inaccuracies based on the spreadsheet

  3. How accurate are the data? How would you describe its level of quality?


Thank you again for your time

















CDC estimates the average public reporting burden for this collection of information as up to 20 minutes per response, including the time for reviewing instructions, searching existing data/information sources, gathering and maintaining the data/information 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 burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0879).



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorShillcutt, Samuel (CDC/OID/NCHHSTP)
File Modified0000-00-00
File Created2021-01-26

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