Information Collection

Targeted Testing and Treatment for Latent Tuberculosis Infection

IC 178818 under ICR 202207-0920-009 · OMB 0920-0457.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0457 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0457 Targeted Testing and Treatment for Latent Tuberculosis Infection	Form and Instruction
0920-0457 Targeted Testing and Treatment for Latent Tuberculosis I Att 3b ARPE TT_2022.docx	Form and Instruction
0920-0457 Targeted Testing and Treatment for Latent Tuberculosis I Att 3b ARPE TT_2022.docx	Form and Instruction

IC Title:

Targeted Testing and Treatment for Latent Tuberculosis Infection

Agency IC Tracking Number:

0920-0457

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 and Instruction	0920-0457	Targeted Testing and Treatment for Latent Tuberculosis Infection	Att 3b ARPE TT_2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 67

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	Previously Approved
Annual Number of Responses for this IC	67	67
Annual IC Time Burden (Hours)	134	134
Annual IC Cost Burden (Dollars)	3,617	3,617

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.