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Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers)

IC 6884 under ICR 202509-0920-010 · OMB 0920-0457.

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Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers) 0920-0457
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0457 Att 3a_Follow-up and Treatment of Contacts to Tuberculosis Cases Form Att 3a_ARPE CI.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

66 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 66 0 -1 0 0 67
Annual IC Time Burden (Hours) 132 0 -2 0 0 134
Annual IC Cost Burden (Dollars) 0 0 -3,617 0 0 3,617

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