Information Collection Request

Tuberculosis Statistics and Program Evaluation Activity

ICR 199508-0920-003 · OMB 0920-0026 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
110599 Tuberculosis Statistics and Program Evaluation Activity Form Migrated
ICR Details
0920-0026 199508-0920-003
Historical Active 199208-0920-002
HHS/CDC
Tuberculosis Statistics and Program Evaluation Activity
Extension without change of a currently approved collection   No
Regular
Approved without change 08/17/1995
Retrieve Notice of Action (NOA) 08/10/1995
  Inventory as of this Action Requested Previously Approved
08/31/1998 08/31/1998 10/31/1995
117 0 0
4,800 0 4,641
0 0 0

Data is submitted to CDC from TB control programs using the forms contained in this information collection. This is a request to extend data collection on items such as HIV status, drug susceptibility results, occupation, drug use, initial drug therapy, and type of health care provider. This data will enable us to study and devise control.

None
None


No

1
IC Title Form No. Form Name
Tuberculosis Statistics and Program Evaluation Activity CDC-72.9;72.16, CDC-72.21

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 117 0 0 117 0 0
Annual Time Burden (Hours) 4,800 4,641 0 159 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/10/1995