Information Collection for Tuberculosis Data from Panel Physicians

OMB 0920-1102

More than 760 panel physicians perform overseas pre-departure medical examinations at 336 panel sites. Screening for tuberculosis is an important part of the medical exam in order to diagnose active TB disease prior to arrival in the U.S. The goal of the data collection is to determine TB rates in immigrant and refugee populations migrating to the US. Data are used to improve the quality of TB screening overseas and assess the impact of CDC's TB Technical Instructions.

The latest form for Information Collection for Tuberculosis Data from Panel Physicians expires 2021-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-1102 TB Indicators REDCap web form Form
Attachment E PIA Signed.pdf Supplementary Document
Attachment D-IRB Determination.pdf Supplementary Document
Attachment C-Published 60-day FRN.pdf Supplementary Document
Attachment A3 - 42 CFR Part 34.pdf Supplementary Document
Attachment A2 - Public Health Service Act 42 USC 252.docx Supplementary Document
Attachment A1-Immigration and Nationality Act 8 U.S.C. § 1182.pdf Supplementary Document
SupSta B 0920-1102 TB Indicators Revision.docx Supporting Statement B
SupSta A 0920-1102 TB Indicators Revision_final.docx Supporting Statement A
TB Indicators REDCap web form Form

All Historical Document Collections

202408-0920-009	Revision of a currently approved collection	2024-09-06
202108-0920-011 Approved without change	Revision of a currently approved collection	2021-08-30
201808-0920-002 Approved with change	Revision of a currently approved collection	2018-08-29
201804-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-04-12
201509-0920-006 Approved with change	Existing collection in use without an OMB Control Number	2015-10-07