Information Collection

Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers)

IC 6884 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⚠️ Notice: This information collection may be referencing outdated material.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
Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers) Form and Instruction
Follow-up and Treatment of Contacts to Tuberculosis Case Att 3a_Follow up and Treatment for Contacts to TB CasesForm.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers)	Agency IC Tracking Number:	0920-0457

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	Follow-up and Treatment of Contacts to Tuberculosis Case Form	Att 3a_Follow up and Treatment for Contacts to TB CasesForm.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	50	50
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.