Targeted Testing and Treatment for Latent Tuberculosis Infection

Aggregate Reports for Tuberculosis Program Evaluation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0457 can be found here:

Documents and Forms

Document Name Document Type
Targeted Testing and Treatment for Latent Tuberculosis Infection Form and Instruction
Targeted Testing and Treatment for Latent Tuberculosis I Att 3b_Targeted Testing.Treatment_Latent TB Infection form.instructions.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Targeted Testing and Treatment for Latent Tuberculosis Infection	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 and Instruction	n/a	Targeted Testing and Treatment for Latent Tuberculosis Infection	Att 3b_Targeted Testing.Treatment_Latent TB Infection form.instructions.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 67	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	67	-33	100
Annual IC Time Burden (Hours)	134	84	50
Annual IC Cost Burden (Dollars)	3,617	3,617	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.