Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Contact Investigation Form: Active/Suspect TB Unchanged 240 38 0 Form and Instruction 1 Contact Investigation Form Active and Suspect
Contact Investigation Form: Non-TB Illness Unchanged 480 77 0 Form and Instruction 1 Contact Investigation Form
Medical Complaint Form Modified 100320 21067 0 Form and Instruction 1 Medical Complaint Form
Total burden requested under this ICR: 101040 21182 0  
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