Information Collection

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

IC 178815 under ICR 201609-0920-016 · OMB 0920-0457.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.