Information Collection

MPEP Mycobacterium Tuberculosis Results

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MPEP Mycobacterium Tuberculosis Results	Agency IC Tracking Number:	0920-0600

Is this a Common Form? No		IC Status: Modified

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	n/a	Results Worksheet	Att. 8-Results Worksheet.docx		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 %

	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

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].