Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Reporting Severe Adverse Events (Hospitalization or Death) Associated with Treatment of Latent Tuberculosis Infection (LTBI) - Med Clerk Modified 10 10 182 Form n/a
Reporting Severe Adverse Events (Hospitalization or Death) Associated with Treatment of Latent Tuberculosis Infection (LTBI) - Nurse Modified 10 40 1388 Form n/a
Reporting Severe Adverse Events (Hospitalization or Death) Associated with Treatment of Latent Tuberculosis Infection (LTBI) - Physician Modified 10 10 1132 Form n/a
Total burden requested under this ICR: 30 60 2702  
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