Information Collection Request

[NCEZID] US Tuberculosis Follow-up Worksheet for Newly Admitted Persons with Overseas Tuberculosis Classifications

ICR 202310-0920-005 · OMB 0920-1238 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1238 EDN TB Follow-up Worksheet Form Modified Repair queued
Non-Substantive Change Memo for TB Follow-up Worksheet.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-10-12 Repair queued
Att 3a_Detailed Chart of Revisions on the 2021 EDN TB Follow-Up Worksheet.docx Supplementary Document Uploaded 2022-05-17 Repair queued
Att 5_CDC Non-Research Determination.pdf Supplementary Document Uploaded 2022-05-17 Repair queued
Att 4-EDN_PIA_2014-12-23.pdf Supplementary Document Uploaded 2022-05-17 Repair queued
Att 2 FRN Published 031921.pdf Supplementary Document Uploaded 2022-05-17 Repair queued
Att 1C- 42 CFR Part 34.pdf Supplementary Document Uploaded 2022-05-17 Repair queued
Att 1B-Public Health Service Act 42 U.S.C. 252.pdf Supplementary Document Uploaded 2022-05-17 Available
Att 1A-Immigration and Nationality Act 8 U.S.C. § 1182.pdf Supplementary Document Uploaded 2022-05-17 Available
SSB-TB Follow up Worksheet_revised.docx Supporting Statement B Uploaded 2022-05-17 Missing upstream
SSA-TB Follow up Worksheet_revised.docx Supporting Statement A Uploaded 2022-05-17 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
231229 EDN TB Follow-up Worksheet Form Modified
ICR Details
0920-1238 202310-0920-005
Received in OIRA 202205-0920-008
HHS/CDC 0920-1238-24AE
[NCEZID] US Tuberculosis Follow-up Worksheet for Newly Admitted Persons with Overseas Tuberculosis Classifications
No material or nonsubstantive change to a currently approved collection   No
Regular 10/12/2023
  Requested Previously Approved
03/31/2026 03/31/2026
9,048 9,048
4,524 4,524
169,107 169,107

The purpose of this data collection is to follow-up with and assess newly-arrived persons in the United States who received overseas tuberculosis classifications in order to assist in the national effort to prevent new transmission of TB. The information collected by The EDN Tuberculosis Follow-Up Worksheet for Newly-Arrived Persons with Overseas Tuberculosis Classifications, also commonly known as the TB Follow-Up Worksheet, will provide outcomes for improving national TB prevention programs. The Division of Global Migration and Quarantine (DGMQ) staff, along with other federal partners will use this information to assess overseas panel physician performance, overseas prevention activities, and TB control program performance in the United States. Specifically, to improve overseas panel physician performance and TB prevention activities, CDC needs information on the U.S. domestic chest x-rays, chest x-ray comparison sputum smear and culture, and diagnosis results along with U.S. domestic reviews of overseas treatment. To monitor and assess U.S. domestic TB program performance, CDC needs to collect data on all elements of TB U.S. domestic follow-up evaluations, including chest x-rays, diagnosis, and U.S. treatment outcomes. This Non-Substantive Change Request is submitted to make minor modifications that do not alter the overall scope of the currently approved collection. Additionally, there is no change in burden associated to respondents.

US Code: 42 USC 252 Name of Law: PHSA
   US Code: 8 USC 1182 Name of Law: Immigration and Nationality Act
  
None

Not associated with rulemaking

  86 FR 14921 03/19/2021
86 FR 40052 06/26/2021
Yes

  Total Request 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 9,048 9,048 0 0 0 0
Annual Time Burden (Hours) 4,524 4,524 0 0 0 0
Annual Cost Burden (Dollars) 169,107 169,107 0 0 0 0
No
No

$137,417
No
    Yes
    Yes
No
No
No
No
Jeffrey Zirger 404 639-7118 [email protected]

  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.
10/12/2023