Targeted Testing and Treatment for Latent Tuberculosis Infection

[NCHHSTP] Aggregate Reports for Tuberculosis Program Evaluation

Documents and Forms

Document Name Document Type
Form 0920-0457 Targeted Testing and Treatment for Latent Tuberculosis Infection Form
0920-0457 Att 3b_Targeted Testing and Treatment for Latent Tubercu Att 3b_ARPE TT.docx Form

Information Collection (IC) Details

IC Title:	Targeted Testing and Treatment for Latent Tuberculosis Infection	Agency IC Tracking Number:	0920-0457

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-0457	Att 3b_Targeted Testing and Treatment for Latent Tuberculosis Infection	Att 3b_ARPE TT.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 66	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	66	-1	67
Annual IC Time Burden (Hours)	132	-2	134
Annual IC Cost Burden (Dollars)	0	-3,617	3,617

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.