[NCZEID]TB Care Finder

[NCEZID] Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1071-24AU [NCZEID]TB Care Finder Form and Instruction
0920-1071-24AU TB Care Finder info requested to TB control programs PRA TB Care Finder info requested to TB control programs PRA 10.23.docx Form and Instruction
Human Subjects Determination.pdf Human Subjects Determination IC Document
Service Delivery Fast Track Template TBCF_BR v2.docx Request for Approval IC Document
TB-Care-Finder_Instructions_TB-Pgms_Hlth-Depts PRA 10.23.docx TB-Care-Finder_Instructions_TB-Pgms_Hlth-Depts PRA 10.23 IC Document
TBCF Participant Invitation 10.23.docx TBCF Participant Invitation 10.23 IC Document

Information Collection (IC) Details

IC Title:	[NCZEID]TB Care Finder	Agency IC Tracking Number:	0920-1071-24AU

IC Status: Unchanged

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	0920-1071-24AU	TB Care Finder info requested to TB control programs PRA 10.23	TB Care Finder info requested to TB control programs PRA 10.23.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Human Subjects Determination	Human Subjects Determination.pdf	11/02/2023
Request for Approval	Service Delivery Fast Track Template TBCF_BR v2.docx	11/02/2023
TB-Care-Finder_Instructions_TB-Pgms_Hlth-Depts PRA 10.23	TB-Care-Finder_Instructions_TB-Pgms_Hlth-Depts PRA 10.23.docx	11/02/2023
TBCF Participant Invitation 10.23	TBCF Participant Invitation 10.23.docx	11/02/2023

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