Information Collection

Cure TB Transnational Notification - Registered Nurses/Nurse Practictioners

IC 226736 under ICR 201705-0920-004 · OMB 0920-1186.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1186 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 16AWE Cure TB Transnational Notification - Registered Nurses/Nurse Practictioners	Form and Instruction
16AWE Attachment D CureTB_Transnational_Notification_CureTB 07 Attachment D CureTB_Transnational_Notification_CureTB 0722.docx	Form and Instruction

IC Title:

Cure TB Transnational Notification - Registered Nurses/Nurse Practictioners

Agency IC Tracking Number:

16AWE

Is this a Common Form? No

IC Status: New

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	16AWE	Attachment D CureTB_Transnational_Notification_CureTB 0722	Attachment D CureTB_Transnational_Notification_CureTB 0722.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Epidemiologic Studies and Surviellance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	250	250
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.