Information Collection

MPEP Mycobacterium Tuberculosis Results

IC 46480 under ICR 201812-0920-003 · OMB 0920-0600.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0600 can be found here:

Documents and Forms

Document Name Document Type
MPEP Mycobacterium Tuberculosis Results Form
Results Worksheet Att. 7-Results Worksheet.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MPEP Mycobacterium Tuberculosis Results	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	none	Results Worksheet	Att. 7-Results Worksheet.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	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	Previously Approved
Annual Number of Responses for this IC	160	-26	186
Annual IC Time Burden (Hours)	80	-13	93
Annual IC Cost Burden (Dollars)	2,957	2,957	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.