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Undetermined transmission and risk factors for multidrug-resistant Mycobacterium tuberculosis among Tribal members - Arizona, 2016

IC 221388 under ICR 201604-0920-011 · OMB 0920-1011.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Undetermined transmission and risk factors for multidrug-resistant Mycobacterium tuberculosis among Tribal members - Arizona, 2016 16AIU
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Case Abstraction Form Appendix 1. Case Abstraction Form.doc No   Paper Only
Form and Instruction NA Case Interview Form Appendix 2. Case Interview Form.doc NA No   Paper Only
Form and Instruction NA Contact Interview and Abstraction Form Appendix 3. Contact Interview and Abstraction Form.doc NA No   Paper Only

Health Illness Prevention

09-20-0113 - Epidemic Investigation Case Records  51 FR 42466

140 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 140 0 140 0 0 0
Annual IC Time Burden (Hours) 90 0 90 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter of Invitation Letter of Invitation.pdf 05/05/2016
Emergency GenIC Request 2016XXX-XXX MDR TB_AZ.docx 05/05/2016
Burden Request Memo Burden Request Email 0920-1011 GenIC Request MDR TB Arizona 2016.msg 05/05/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.