Information Collection

MPEP Mycobacterium Tuberculosis Results

IC 46480 under ICR 202112-0920-009 · OMB 0920-0600.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0600 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0600 MPEP Mycobacterium Tuberculosis Results	Form
0920-0600 Att. 7-Results Worksheet Att. 7-Results Worksheet.docx	Form
0920-0600 Att. 7-Results Worksheet Att. 7-Results Worksheet.docx	Form

IC Title:

MPEP Mycobacterium Tuberculosis Results

Agency IC Tracking Number:

0920-0600

Is this a Common Form? No

IC Status: Modified

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	0920-0600	Att. 7-Results Worksheet	Att. 7-Results Worksheet.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

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	Previously Approved
Annual Number of Responses for this IC	160	0	160
Annual IC Time Burden (Hours)	80	0	80
Annual IC Cost Burden (Dollars)	0	-2,957	2,957

Documents for IC

table that charts IC Documents
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.