OMB control number

Information Collection for Tuberculosis Data from Panel Physicians

OMB 0920-1102 · HHS/CDC.

OMB 0920-1102

DGMH is responsible for monitoring the effectiveness of the Technical Instructions in diagnosing applicants with tuberculosis. To assist with this monitoring, panel physicians must submit Tuberculosis Indicator reports to CDC/DGMH annually. The reports are to be submitted electronically via REDCap, and submission instructions are e-mailed to panel physicians at the beginning of each calendar year. 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. This Revision has minor adjustments.

The latest form for Information Collection for Tuberculosis Data from Panel Physicians expires 2027-10-31 and is listed under ICR 202408-0920-009.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-1102 Tuberculosis IndicatorsForm
Form 0920-1102 TB Indicators REDCap web formForm
Attachment F2-Comment #1.pdf (document unavailable)Public Comments
Attachment F1-Comment #1.pdf (document unavailable)Public Comments
Attachment E PIA Signed.pdfSupplementary Document
Attachment D-IRB Determination.pdfSupplementary Document
Attachment D-IRB Determination.pdf Supplementary Document
Attachment C-Published 60-day FRN.pdfSupplementary Document
Attachment A3 - 42 CFR Part 34.pdfSupplementary Document
Attachment A3 - 42 CFR Part 34.pdf Supplementary Document
Attachment A2 - Public Health Service Act 42 USC 252.docxSupplementary Document
Attachment A2 - Public Health Service Act 42 USC 252.docx Supplementary Document
Attachment A1-Immigration and Nationality Act 8 U.S.C. § 1182.pdfSupplementary Document
SupSta B 0920-1102 TB Indicators Revision.docxSupporting Statement B
SupSta A 0920-1102 TB Indicators Revision_final.docxSupporting Statement A
SupSta A 0920-1102 TB Indicators Revision_final.docxSupporting Statement A
TB Indicators REDCap web form Form
TB Indicators REDCap web form Form

All Historical Document Collections

Historical document collections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