EDN TB Follow-up Worksheet

US Tuberculosis Follow-up Worksheet for Newly Admitted Persons with Overseas Tuberculosis Classifications

OMB: 0920-1238

IC ID: 231229

Information Collection (IC) Details

View Information Collection (IC)

EDN TB Follow-up Worksheet
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none EDN TB Follow-up Worksheet Attachment 3 TB Follow up Worksheet.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

Alien Tuberculosis Follow-up Program  51 FR 42462

550 0
   
State, Local, and Tribal Governments
 
   100 %

  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 26,400 0 0 0 26,400 0
Annual IC Time Burden (Hours) 13,200 0 0 0 13,200 0
Annual IC Cost Burden (Dollars) 493,416 0 0 0 493,416 0

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