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

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 0920-0879 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

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0879	Online Instrument	DTBE LB COOP Project Att B_Instrument_Word Version.docx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-0879	Focus Group Instrument	DTBE LB COOP Project Att D_Focus Group Virtual Platform Discussions Script.docx		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 %

	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

Title	Document	Date Uploaded
CoAg PHLs	DTBE LB COOP Project Att A_CoAg PHLs and Mycobacteriology Supervisors.docx	03/11/2021
Online Instrument Web Version	DTBE LB COOP Project Att C_Instrument_Web Shots.docx	03/11/2021
Online Notification Email	DTBE LB COOP Project Att E_Notification Email.docx	03/11/2021
Online Reminder Email	DTBE LB COOP Project Att F_Reminder Email.docx	03/11/2021
Focus Group Invitation Email	DTBE LB COOP Project Att G_Focus Group Invite Email.docx	03/11/2021
Focus Group Reminder Email	DTBE LB COOP Project Att H_Reminder Email for Focus Group.docx	03/11/2021
SSA	DTBE LB COOP Project SSA.docx	03/11/2021
SSB	DTBE LB COOP Project SSB.docx	03/11/2021

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