Information Collection

MPEP Mycobacterium Tuberculosis Results

IC 46480 under ICR 202511-0920-002 · OMB 0920-0600.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MPEP Mycobacterium Tuberculosis Results	Form and Instruction
Results Worksheet MPEP Mycobacterium Tuberculosis Results	Form and Instruction
Results Worksheet Att. 8-Results Worksheet.docx	Form and Instruction
Results Worksheet Att. 8-Results Worksheet.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

0920-0600

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 70

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	140	-20	160
Annual IC Time Burden (Hours)	70	-10	80
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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