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Federal forms, ICRs, and supporting documents

Information Collection

CureTB Partner Feedback (Satsifaction Assessment) Questionnaire 2

IC 252225 under ICR 202402-0920-003 · OMB 0920-1186.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Questionnaire annotated with s
Other-Questionnaire annotated with s
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

CureTB Partner Feedback (Satsifaction Assessment) Questionnaire 2 0920-1186
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1186 CureTB Partner Feedback Att. G- Questionnaire 2 - Online Survey Preview-no skip logic.pdf Yes Yes Fillable Fileable
Other-Questionnaire annotated with skip logic Attachment A2.a. – Supplemental CureTB Program Partner Satisfaction Assessment Questionnaire 2.pdf No   Paper Only

Health Public Health Monitoring

 

50 0
   
State, Local, and Tribal Governments
 
   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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 5 0 0 0 0 5
Annual IC Cost Burden (Dollars) 0 0 -223 0 0 223

Title Document Date Uploaded
CureTB Referral Outcome Notification Att. K-CureTB Referral Outcome Notification form.pdf 02/21/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.