OMB control number
[NCEZID] US Tuberculosis Follow-up Worksheet for Newly Admitted Persons with Overseas Tuberculosis Classifications
OMB 0920-1238 · HHS/CDC.
OMB 0920-1238
The purpose of this data collection is to follow-up with and assess newly arrived persons in the US who received overseas TB classifications in order to assist in the national effort to prevent new transmission of TB.
The latest form for [NCEZID] US Tuberculosis Follow-up Worksheet for Newly Admitted Persons with Overseas Tuberculosis Classifications expires 2021-06-30 and is listed under ICR 201804-0920-016.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 0920-1238 EDN TB Follow-up Worksheet | Form |
 Non-Substantive Change Memo for TB Follow-up Worksheet.docx | Justification for No Material/Nonsubstantive Change |
| Att 3a_Detailed Chart of Revisions on the 2021 EDN TB Follow-Up Worksheet.docx | Supplementary Document |
| Att 5_CDC Non-Research Determination.pdf | Supplementary Document |
| Att 4-EDN_PIA_2014-12-23.pdf | Supplementary Document |
| Att 2 FRN Published 031921.pdf | Supplementary Document |
| Att 1C- 42 CFR Part 34.pdf | Supplementary Document |
| Att 1B-Public Health Service Act 42 U.S.C. 252.pdf | Supplementary Document |
 Att 1A-Immigration and Nationality Act 8 U.S.C. § 1182.pdf (document unavailable) | Supplementary Document |
| SSB-TB Follow up Worksheet_revised.docx | Supporting Statement B |
| SSA-TB Follow up Worksheet_revised.docx | Supporting Statement A |
 EDN TB Follow-up Worksheet |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202310-0920-005 | No material or nonsubstantive change to a currently approved collection | 2023-10-12 | Approved without change | |
| 202205-0920-008 | Reinstatement with change of a previously approved collection | 2022-05-18 | Approved without change | |
| 202106-0920-012 | Reinstatement without change of a previously approved collection | 2021-08-18 | Improperly submitted | |
| 201804-0920-016 | Existing collection in use without an OMB Control Number | 2018-05-14 | Approved without change |