Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers)

Aggregate Reports for Tuberculosis Program Evaluation

OMB: 0920-0457

IC ID: 6884

Information Collection (IC) Details

View Information Collection (IC)

Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers) 0920-0457-20FQ
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0457 Follow-up and Treatment of Contacts to Tuberculosis Cases ARPE CI 20200109.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

67 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 67 0 0 0 0 67
Annual IC Time Burden (Hours) 134 0 0 0 0 134
Annual IC Cost Burden (Dollars) 3,617 0 0 0 0 3,617

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.

© 2024 OMB.report | Privacy Policy