Information Collection

Pandemics, Natural Disasters, and other Interruption of Service Events: Contingency Planning Considerations for Mycobacteriology Testing

IC 246199 under ICR 202011-0920-003 · OMB 0920-0879.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0879 Online Instrument Pandemics, Natural Disasters, and other Interruption of Service Events: Contingency Planning Considerations for Mycobacteriology Testing	Form and Instruction
Form 0920-0879 Focus Group Instrument Pandemics, Natural Disasters, and other Interruption of Service Events: Contingency Planning Considerations for Mycobacteriology Testing	Form and Instruction
0920-0879 Online Instrument DTBE LB COOP Project Att B_Instrument_Word Version.docx	Form and Instruction
0920-0879 Focus Group Instrument DTBE LB COOP Project Att D_Focus Group Virtual Platform Discussions Script.docx	Form and Instruction
DTBE LB COOP Project Att A_CoAg PHLs and Mycobacteriology Supervisors.docx CoAg PHLs	IC Document
DTBE LB COOP Project Att C_Instrument_Web Shots.docx Online Instrument Web Version	IC Document
DTBE LB COOP Project Att E_Notification Email.docx Online Notification Email	IC Document
DTBE LB COOP Project Att F_Reminder Email.docx Online Reminder Email	IC Document
DTBE LB COOP Project Att G_Focus Group Invite Email.docx Focus Group Invitation Email	IC Document
DTBE LB COOP Project Att H_Reminder Email for Focus Group.docx Focus Group Reminder Email	IC Document
DTBE LB COOP Project SSA.docx SSA	IC Document
DTBE LB COOP Project SSB.docx SSB	IC Document

IC Title:

Pandemics, Natural Disasters, and other Interruption of Service Events: Contingency Planning Considerations for Mycobacteriology Testing

Agency IC Tracking Number:

0920-0879-21DT

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	0920-0879				Yes	Yes	Fillable Fileable
Form and Instruction	0920-0879				Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 116

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	116	116
Annual IC Time Burden (Hours)	126	126
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CoAg PHLs		03/11/2021
Online Instrument Web Version		03/11/2021
Online Notification Email		03/11/2021
Online Reminder Email		03/11/2021
Focus Group Invitation Email		03/11/2021
Focus Group Reminder Email		03/11/2021
SSA		03/11/2021
SSB		03/11/2021

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

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