OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Centers for Disease Control and Prevention Performance Evaluation Program for Mycobacterium Tuberculosis/Non-tuberculosis Mycobacteria Drug Susceptibility Testing Program

ICR 201010-0920-008 · OMB 0920-0600 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
MPEP for M.TB and non--tuberculous Mycobacteria Drug Susceptibility Testing Laboratory Information Change Form Modified Available
MPEP for M. TB and non-tuberculous Mycobacteria Drug Susceptibility Testing Enrollment Form Form Modified Available
MPEP for M. TB and non-tuberculous Mycobacteria Drug Susceptibility Testing Results Worksheet Form Modified Available
MPEP for M. TB and non-tuberculous Mycobacteria Drug Susceptibility Testing Laboratory Practices Questionnaire Form Modified Available
0920 0600 Justification change request.docx Justification for No Material/Nonsubstantive Change Uploaded 2010-10-14 Available
0920-0600 Attachment 3c Acceptance Letter Template.doc Supplementary Document Uploaded 2009-12-16 Available
0920-0600 Attachment 3b Program Description.doc Supplementary Document Uploaded 2009-12-16 Available
0920-0600 Attachment 4g Aggregate Results Letter.doc Supplementary Document Uploaded 2009-12-16 Available
0920-0600 Attachment 4f Prelim Results Letter.doc Supplementary Document Uploaded 2009-12-16 Available
0920-0600 Attachment 4eii Phone Script.doc Supplementary Document Uploaded 2009-12-16 Available
0920-0600 Attachment 4ei Reminder Email.doc Supplementary Document Uploaded 2009-12-16 Available
0920-0600 Attachment 4b Shipment and Password Letter.doc Supplementary Document Uploaded 2009-12-16 Available
0920-0600 Attachment 4a Pre-Shipment Letter.doc Supplementary Document Uploaded 2009-12-16 Available
0920-0600 Attachment 4d NTM Case History Form.doc Supplementary Document Uploaded 2009-12-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
7065 MPEP for M.TB and non--tuberculous Mycobacteria Drug Susceptibility Testing Laboratory Information Change Form Modified
46481 MPEP for M. TB and non-tuberculous Mycobacteria Drug Susceptibility Testing Enrollment Form Form Modified
46480 MPEP for M. TB and non-tuberculous Mycobacteria Drug Susceptibility Testing Results Worksheet Form Modified
192388 MPEP for M. TB and non-tuberculous Mycobacteria Drug Susceptibility Testing Laboratory Practices Questionnaire Form Modified
ICR Details
0920-0600 201010-0920-008
Historical Active 201003-0920-014
HHS/CDC
Centers for Disease Control and Prevention Performance Evaluation Program for Mycobacterium Tuberculosis/Non-tuberculosis Mycobacteria Drug Susceptibility Testing Program
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/25/2010
Retrieve Notice of Action (NOA) 10/21/2010
  Inventory as of this Action Requested Previously Approved
05/31/2013 05/31/2013 05/31/2013
338 0 338
167 0 167
0 0 0
The CDC Model Performance Evaluation Program for Mycobacterium tuberculosis and Non-tuberculous Mycobacterium Drug Susceptibility Testing assesses the capability of domestic laboratories in detecting drug resistance in M.tuberculosis and non-tuberculous agents of human infection. This revsion reinstates the Laboratory Practices Questionnaire, and deletes all hardcopy forms. Foreign labs no longer participate in the program.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
No
  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 338 338 0 0 0 0
Annual Time Burden (Hours) 167 167 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$244,495
No
Yes
No
No
No
Uncollected
Carol Walker 4046394773
  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.
10/21/2010