Individual Followup with Tuberculosis (TB) Patients Referred by LHD

Information Collection for Tuberculosis Data from Referring Entities to CureTB

OMB: 0920-1186

IC ID: 226737

Information Collection (IC) Details

View Information Collection (IC)

Individual Followup with Tuberculosis (TB) Patients Referred by LHD 16AWE
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a CureTB Transnational Notification Att. C - CureTB_Transnational Notification.pdf No   Paper Only

Health Public Health Monitoring

09-20-0171, Quarantine- and Traveler-related Activities Including Records for Contact Tracing Investigation and Notification under 42 CFR Parts 70 and 71  72 FR 70867

187 0
   
Individuals or Households
 
   0 %

  Requested 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 187 0 87 0 0 100
Annual IC Time Burden (Hours) 16 0 8 0 0 8
Annual IC Cost Burden (Dollars) 389 0 389 0 0 0

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.

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