[NCHHSTP] Aggregate Reports for Tuberculosis Program Evaluation

OMB 0920-0457

This is a request for revision of a previously approved collection. Respondents are 67 state and local health departments with federal cooperative agreements for tuberculosis control. Respondents submit two annual reports to CDC with de-identified summary information concerning the follow-up and treatment of contacts to tuberculosis cases, and targeted testing and treatment for latent tuberculosis infection. The reports allow CDC to estimate the epidemiological status of tuberculosis, monitor the workload of tuberculosis prevention, and evaluate tuberculosis control programs.

The latest form for [NCHHSTP] Aggregate Reports for Tuberculosis Program Evaluation expires 2022-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-0457 Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers) Form
Form 0920-0457 Targeted Testing and Treatment for Latent Tuberculosis Infection Form
Att 7_List of Cooperative Agreement Awardees.docx Supplementary Document
Att 6 Privacy Impact Assessment Form_ARPE 2025.pdf Supplementary Document
Att 5_Aggregate Reports for Program Evaluation Training Manual.pdf Supplementary Document
Att 4_NCHHSTP Project Determination Form.pdf Supplementary Document
Att 2-60 Day FRN Published.pdf Supplementary Document
Att 1_Authorizing Legislation.pdf Supplementary Document
30 Day FRN Publication Request.pdf Supplementary Document
Att 1_Legislative Authority.pdf Supplementary Document
Att 4_NCHHSTP Project Determination Form.pdf Supplementary Document
60 Day Required Combined Request_2022.docx Supplementary Document
Att 5 arpes_manual.pdf Supplementary Document
Att 6_PIA_ARPE approved 10 Jun 2019.pdf Supplementary Document
Att 7 Awardees_2022.docx Supplementary Document
ARPE TT 2020109 Att3b Compared with OMB Version.docx Supplementary Document
ARPE CI 20200109 Att3a Compared to OMB Version.docx Supplementary Document
Justification for Non_Substantive Change Request (0920-0457).docx Justification for No Material/Nonsubstantive Change
SSB.docx Supporting Statement B
SSA 8.28.2025.docx Supporting Statement A
Att 7 Awardees.docx Supplementary Document
Att 6_PIA_ARPE approved 10 Jun 2019.pdf Supplementary Document
Att 5_Aggregate Reports for Program Evaluation Training Manual and Users Guide.pdf Supplementary Document
Att 4_NCHHSTP Project Determination Form.pdf Supplementary Document
Att 2_60-Day FRN_0920-0457.pdf Supplementary Document
Att 1_Legislative Authority.pdf Supplementary Document
Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers) Form
Targeted Testing and Treatment for Latent Tuberculosis Infection Form

All Historical Document Collections

202509-0920-010	Extension without change of a currently approved collection	2025-09-25
202207-0920-009 Approved without change	Extension without change of a currently approved collection	2022-07-26
202001-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-01-16
201906-0920-013 Approved with change	Revision of a currently approved collection	2019-08-08
201609-0920-016 Approved without change	Reinstatement without change of a previously approved collection	2016-09-27
201307-0920-007 Approved without change	Extension without change of a currently approved collection	2013-07-18
201008-0920-008 Approved without change	Reinstatement with change of a previously approved collection	2010-08-17
200702-0920-006 Approved without change	Revision of a currently approved collection	2007-02-22
200306-0920-004 Approved without change	Reinstatement without change of a previously approved collection	2003-06-30
200002-0920-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2000-02-24
199909-0920-004 Approved without change	New collection (Request for a new OMB Control Number)	1999-09-07

OMB Details

Follow-up and Treatment of Contacts to Tuberculosis Case Form - Electronic (Data Clerks and Program Managers)

Federal Enterprise Architecture: Health - Illness Prevention

Form 0920-0457

Follow-up and Treatment of Contacts to Tuberculosis Cases

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.