Information Collection Request

[NCHHSTP] Aggregate Reports for Tuberculosis Program Evaluation

ICR 202509-0920-010 · OMB 0920-0457 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-0457 Att 3a_Follow-up and Treatment of Contacts to Tuberculosis Cases Form Form Modified Repair queued
Form 0920-0457 Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers) Form Modified Repair queued
Form 0920-0457 Att 3b_Targeted Testing and Treatment for Latent Tuberculosis Infection Form Modified Available
Form 0920-0457 Targeted Testing and Treatment for Latent Tuberculosis Infection Form Modified Repair queued
Att 7_List of Cooperative Agreement Awardees.docx Supplementary Document Uploaded 2025-09-24 Available
Att 7_List of Cooperative Agreement Awardees.docx Supplementary Document Uploaded 2025-09-24 Repair queued
Att 6 Privacy Impact Assessment Form_ARPE 2025.pdf Supplementary Document Uploaded 2025-09-24 Available
Att 6 Privacy Impact Assessment Form_ARPE 2025.pdf Supplementary Document Uploaded 2025-09-24 Repair queued
Att 5_Aggregate Reports for Program Evaluation Training Manual.pdf Supplementary Document Uploaded 2025-09-24 Available
Att 5_Aggregate Reports for Program Evaluation Training Manual.pdf Supplementary Document Uploaded 2025-09-24 Repair queued
Att 4_NCHHSTP Project Determination Form.pdf Supplementary Document Uploaded 2025-09-24 Available
Att 4_NCHHSTP Project Determination Form.pdf Supplementary Document Uploaded 2025-09-24 Missing upstream
Att 2-60 Day FRN Published.pdf Supplementary Document Uploaded 2025-09-24 Available
Att 2-60 Day FRN Published.pdf Supplementary Document Uploaded 2025-09-24 Missing upstream
Att 1_Authorizing Legislation.pdf Supplementary Document Uploaded 2025-09-24 Available
Att 1_Authorizing Legislation.pdf Supplementary Document Uploaded 2025-09-24 Repair queued
30 Day FRN Publication Request.pdf Supplementary Document Uploaded 2025-09-24 Available
30 Day FRN Publication Request.pdf Supplementary Document Uploaded 2025-09-24 Repair queued
Att 1_Legislative Authority.pdf Supplementary Document Uploaded 2022-07-26 Available
Att 1_Legislative Authority.pdf Supplementary Document Uploaded 2022-07-26 Missing upstream
Att 4_NCHHSTP Project Determination Form.pdf Supplementary Document Uploaded 2022-07-26 Available
Att 4_NCHHSTP Project Determination Form.pdf Supplementary Document Uploaded 2022-07-26 Repair queued
60 Day Required Combined Request_2022.docx Supplementary Document Uploaded 2022-07-26 Available
60 Day Required Combined Request_2022.docx Supplementary Document Uploaded 2022-07-26 Missing upstream
Att 5 arpes_manual.pdf Supplementary Document Uploaded 2022-07-26 Repair queued
Att 5 arpes_manual.pdf Supplementary Document Uploaded 2022-07-26 Missing upstream
Att 6_PIA_ARPE approved 10 Jun 2019.pdf Supplementary Document Uploaded 2022-07-26 Available
Att 6_PIA_ARPE approved 10 Jun 2019.pdf Supplementary Document Uploaded 2022-07-26 Repair queued
Att 7 Awardees_2022.docx Supplementary Document Uploaded 2022-07-26 Repair queued
Att 7 Awardees_2022.docx Supplementary Document Uploaded 2022-07-26 Repair queued
ARPE TT 2020109 Att3b Compared with OMB Version.docx Supplementary Document Uploaded 2020-01-16 Available
ARPE TT 2020109 Att3b Compared with OMB Version.docx Supplementary Document Uploaded 2020-01-16 Repair queued
ARPE CI 20200109 Att3a Compared to OMB Version.docx Supplementary Document Uploaded 2020-01-16 Available
ARPE CI 20200109 Att3a Compared to OMB Version.docx Supplementary Document Uploaded 2020-01-16 Repair queued
Justification for Non_Substantive Change Request (0920-0457).docx Justification for No Material/Nonsubstantive Change Uploaded 2020-01-16 Available
Justification for Non_Substantive Change Request (0920-0457).docx Justification for No Material/Nonsubstantive Change Uploaded 2020-01-16 Missing upstream
SSB.docx Supporting Statement B Uploaded 2025-09-24 Available
SSB.docx Supporting Statement B Uploaded 2025-09-24 Repair queued
SSA 8.28.2025.docx Supporting Statement A Uploaded 2025-09-24 Repair queued
SSA 8.28.2025.docx Supporting Statement A Uploaded 2025-09-24 Missing upstream
Att 7 Awardees.docx Supplementary Document Uploaded 2019-07-25 Repair queued
Att 7 Awardees.docx Supplementary Document Uploaded 2019-07-25 Missing upstream
Att 6_PIA_ARPE approved 10 Jun 2019.pdf Supplementary Document Uploaded 2019-07-25 Available
Att 6_PIA_ARPE approved 10 Jun 2019.pdf Supplementary Document Uploaded 2019-07-25 Repair queued
Att 5_Aggregate Reports for Program Evaluation Training Manual and Users Guide.pdf Supplementary Document Uploaded 2019-07-25 Repair queued
Att 5_Aggregate Reports for Program Evaluation Training Manual and Users Guide.pdf Supplementary Document Uploaded 2019-07-25 Repair queued
Att 4_NCHHSTP Project Determination Form.pdf Supplementary Document Uploaded 2019-07-25 Available
Att 4_NCHHSTP Project Determination Form.pdf Supplementary Document Uploaded 2019-07-25 Repair queued
Att 2_60-Day FRN_0920-0457.pdf Supplementary Document Uploaded 2019-07-25 Repair queued
Att 2_60-Day FRN_0920-0457.pdf Supplementary Document Uploaded 2019-07-25 Missing upstream
Att 1_Legislative Authority.pdf Supplementary Document Uploaded 2019-07-25 Repair queued
Att 1_Legislative Authority.pdf Supplementary Document Uploaded 2019-07-25 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6884 Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers) Form ModifiedAtt 3a_Follow-up and Treatment of Contacts to Tuberculosis Cases Form
6884 Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers) Form Modified
178818 Targeted Testing and Treatment for Latent Tuberculosis Infection Form ModifiedAtt 3b_Targeted Testing and Treatment for Latent Tuberculosis Infection
178818 Targeted Testing and Treatment for Latent Tuberculosis Infection Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2028 36 Months From Approved 01/31/2026
132 0 134
264 0 268
0 0 7,234





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers) 0920-0457
Targeted Testing and Treatment for Latent Tuberculosis Infection 0920-0457

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 132 134 0 -2 0 0
Annual Time Burden (Hours) 264 268 0 -4 0 0
Annual Cost Burden (Dollars) 0 7,234 0 -7,234 0 0


Reginfo record details
  No