Information Collection

TB Portals user feedback Individuals (NIAID)

IC 242965 under ICR 201902-0925-002 · OMB 0925-0668.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0668 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 TB Portals user feedback Individuals (NIAID)	Form and Instruction
1 Screenshots TB Portal users Screenshots- TB Portals users 7.15.20 (3).docx	Form and Instruction
Language for email invitation to TBP survey (1).docx email invitation	IC Document
Fast Track Template 2020_TBP2_Individuals_7.22.20.docx Fast track 2020 TBP2 individuals	IC Document

IC Title:

TB Portals user feedback Individuals (NIAID)

Agency IC Tracking Number:

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	1	Screenshots TB Portal users	Screenshots- TB Portals users 7.15.20 (3).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
email invitation	Language for email invitation to TBP survey (1).docx	08/03/2020
Fast track 2020 TBP2 individuals	Fast Track Template 2020_TBP2_Individuals_7.22.20.docx	08/03/2020

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