Cure TB Contact Source Investigation (CI/SI) Notification - Registered Nurses/Nurse Practitioners

Information Collection for Tuberculosis Data from Referring Entities to Cure TB

OMB: 0920-1186

IC ID: 226738

Information Collection (IC) Details

View Information Collection (IC)

Cure TB Contact Source Investigation (CI/SI) Notification - Registered Nurses/Nurse Practitioners 16AWE
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 16AWE Attachment E CureTB Contact_Source Investigation Attachment E CureTB Contact_Source Investigation.docx Yes Yes Fillable Printable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

20 0
   
State, Local, and Tribal Governments
 
   50 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 100 0 100 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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