Information Collection

Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual)

IC 178819 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual) Form and Instruction
Targeted Testing and Treatment for Latent TB Infection - Att 3b_Targeted Testing and Treatment for Latent TB InfectionForm.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Targeted Testing and Treatment for Latent TB Infection - 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	Targeted Testing and Treatment for Latent TB Infection - data clerks - (manual)	Att 3b_Targeted Testing and Treatment for Latent TB InfectionForm.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.