OMB control number

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

OMB 0920-1238 · HHS/CDC.

OMB 0920-1238

The purpose of this data collection is to follow-up with and assess newly arrived persons in the US who received overseas TB classifications in order to assist in the national effort to prevent new transmission of TB.

The latest form for [NCEZID] US Tuberculosis Follow-up Worksheet for Newly Admitted Persons with Overseas Tuberculosis Classifications expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-1238 EDN TB Follow-up Worksheet Form
Non-Substantive Change Memo for TB Follow-up Worksheet.docx Justification for No Material/Nonsubstantive Change
Att 3a_Detailed Chart of Revisions on the 2021 EDN TB Follow-Up Worksheet.docx Supplementary Document
Att 5_CDC Non-Research Determination.pdf Supplementary Document
Att 4-EDN_PIA_2014-12-23.pdf Supplementary Document
Att 2 FRN Published 031921.pdf Supplementary Document
Att 1C- 42 CFR Part 34.pdf Supplementary Document
Att 1B-Public Health Service Act 42 U.S.C. 252.pdf Supplementary Document
Att 1A-Immigration and Nationality Act 8 U.S.C. § 1182.pdf (document unavailable) Supplementary Document
SSB-TB Follow up Worksheet_revised.docx Supporting Statement B
SSA-TB Follow up Worksheet_revised.docx Supporting Statement A
EDN TB Follow-up Worksheet Form

All Historical Document Collections

202310-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-10-12
202205-0920-008 Approved without change	Reinstatement with change of a previously approved collection	2022-05-18
202106-0920-012 Improperly submitted	Reinstatement without change of a previously approved collection	2021-08-18
201804-0920-016 Approved without change	Existing collection in use without an OMB Control Number	2018-05-14