OMB.report

Federal forms, ICRs, and supporting documents

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.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-1238 EDN Tuberculosis Follow-Up Worksheet for Newly-Arrived Persons with Overseas Tuberculosis Classifications - 12 OCT2023Form
Form 0920-1238 The EDN Tuberculosis Follow-Up Worksheet for Newly-Arrived Persons with Overseas Tuberculosis ClassificationsForm
Form 0920-1238 EDN TB Follow-up WorksheetForm
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.docxSupporting Statement B
SSA-TB Follow up Worksheet_revised.docxSupporting Statement A
EDN TB Follow-up Worksheet Form
EDN TB Follow-up Worksheet Form
EDN TB Follow-up Worksheet Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
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