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Targeted Testing and Treatment for Latent Tuberculosis Infection
Aggregate Reports for Tuberculosis Program Evaluation
OMB: 0920-0457
IC ID: 178818
OMB.report
HHS/CDC
OMB 0920-0457
ICR 202207-0920-009
IC 178818
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
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
67
0
0
0
0
67
Annual IC Time Burden (Hours)
134
0
0
0
0
134
Annual IC Cost Burden (Dollars)
3,617
0
0
0
0
3,617
Documents for IC
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.