Information Collection

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

IC 227264 under ICR 201412-0920-011 · OMB 0920-0879.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.