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TB Indicator Data Reporting Form
Information Collection for Tuberculosis Data from Panel Physicians
Attachment C TB Indicator Reporting Form_2021
TB Indicator Reporting Form
OMB: 0920-1102
OMB.report
HHS/CDC
OMB 0920-1102
ICR 202108-0920-011
IC 218237
TB Indicator Data Reporting Form
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-1102 can be found here:
2024-09-06 - Revision of a currently approved collection
Document [pdf]
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File Type
application/pdf
Author
Hailu, Kibrten (CDC/DDID/NCEZID/DGMQ)
File Modified
2021-04-12
File Created
2021-04-12
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