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.
Latest Forms, Documents, and Supporting Material
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 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
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form n/a | Reporting Severe Adverse Events Associated with Treatment of Latent Tuberculosis Investion (LTBI) - Med Clerk | Paper Only | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.