OMB control number

National Surveillance for Severe Adverse Events Associated with Treatment of Latent Tuberculosis Infection

OMB 0920-0773 ยท HHS/CDC.

OMB 0920-0773

Severe adverse events (SAEs) to Tuberculosis (TB) treatment are rare but continue to be a public health problem. In order to continue to determine risk factors and to monitor trends of SAEs related to the treatment of Latent TB Infection (LTBI), CDC requests approval to continue collecting SAE reports through NSSAE. These reports are from healthcare providers and health departments (local/state/territorial) from any of the 60 reporting areas for the National TB Surveillance System (NTSS)OMB No.0920-0026, Exp. Date 12/31/2019. Data will be collected on each occurrence of SAEs reported by healthcare providers through the local and state health departments. Data collection is initiated when a health department is notified of a person hospitalized with severe adverse reactions to the medications prescribed to treat LTBI. Since OMB approval of the NSSAE collection form 3 years ago, the project officers have received 66 reports of SAEs.

The latest form for National Surveillance for Severe Adverse Events Associated with Treatment of Latent Tuberculosis Infection expires 2021-03-31 and is listed under ICR 201802-0920-002.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201802-0920-002 Reinstatement without change of a previously approved collection 2018-02-07 Approved without change
201410-0920-024 Extension without change of a currently approved collection 2014-11-10 Approved without change
201110-0920-006 Reinstatement with change of a previously approved collection 2011-10-17 Approved with change
200712-0920-013 New collection (Request for a new OMB Control Number) 2007-12-20 Approved without change

OMB Details

Reporting Severe Adverse Events (Hospitalization or Death) Associated with Treatment of Latent Tuberculosis Infection (LTBI) - Med Clerk

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
FormNameElectronic accessType
Form n/aReporting Severe Adverse Events Associated with Treatment of Latent Tuberculosis Investion (LTBI) - Med ClerkPaper OnlyForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.