Assessment of the 2011 CDC Protocol Change for Flight-Related Tuberculosis Contact Investigations

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Document Name Document Type
Assessment of the 2011 CDC Protocol Change for Flight-Related Tuberculosis Contact Investigations Form and Instruction
Flight-Related TBCI Assessment Attachment C - Instrument-Web Version.pdf Form and Instruction
Attachment A-Tuberculosis Controller Jurisdictions.docx TB Controller Jurisdictions IC Document
Attachment D - Invitation Email.docx TBCI Invitation Email IC Document
Attachment E - Reminder Email.docx TBCI Reminddr Email IC Document
TBCI-SURV-SSA.docx Supporting Statement A IC Document
TBCI-SURV-SSB.docx Supporting Statement B IC Document

Information Collection (IC) Details

IC Title:	Assessment of the 2011 CDC Protocol Change for Flight-Related Tuberculosis Contact Investigations	Agency IC Tracking Number:	0920-0879-17ATP

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Flight-Related TBCI Assessment	Attachment C - Instrument-Web Version.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 125	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
TB Controller Jurisdictions	Attachment A-Tuberculosis Controller Jurisdictions.docx	06/21/2017
TBCI Invitation Email	Attachment D - Invitation Email.docx	06/21/2017
TBCI Reminddr Email	Attachment E - Reminder Email.docx	06/21/2017
Supporting Statement A	TBCI-SURV-SSA.docx	06/22/2017
Supporting Statement B	TBCI-SURV-SSB.docx	06/22/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.