[NCZEID]TB Care Finder

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

OMB: 0920-1071

IC ID: 263184

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

[NCZEID]TB Care Finder 0920-1071-24AU
 
Unchanged
 
Voluntary
 

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

Health Public Health Monitoring

 

150 0
   
Individuals or Households
 
   100 %

  Requested 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 150 0 0 0 0 150
Annual IC Time Burden (Hours) 150 0 0 0 0 150
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
© 2024 OMB.report | Privacy Policy