Individual Followup with Tuberculosis (TB) Patients Referred by ICE

Information Collection for Tuberculosis Data from Referring Entities to CureTB

OMB: 0920-1186

IC ID: 242057

Information Collection (IC) Details

View Information Collection (IC)

Individual Followup with Tuberculosis (TB) Patients Referred by ICE
 
No Unchanged
 
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 Notificaiton Att. C - CureTB_Transnational Notification.pdf No   Fillable Fileable

Health Illness Prevention

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

587 0
   
Individuals or Households
 
   0 %

  Approved 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 587 0 0 0 0 587
Annual IC Time Burden (Hours) 440 0 0 0 0 440
Annual IC Cost Burden (Dollars) 10,997 0 0 0 0 10,997

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

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