0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual

Aggregate Reports for Tuberculosis Program Evaluation

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual Form and Instruction
0920-0457 - Follow-up and Treatment for Contacts to TB C Att 3a_Follow up and Treatment for Contacts to TB CasesForm.docx Form and Instruction

Information Collection (IC) Details

IC Title:	0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	None	0920-0457 - Follow-up and Treatment for Contacts to TB Cases - data clerks - manual	Att 3a_Follow up and Treatment for Contacts to TB CasesForm.docx		No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	54	54
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.