Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Coordination with TB Treating Physician/Foreign Health Authority in New Country Modified 2610 435 10279 Form and Instruction n/a Telephone Script for Clinician/Foreign Health Authority Referral Follow-up
Cure TB Contact Source Investigation (CI/SI) Notification - LHD Modified 100 50 2230 Form and Instruction n/a CureTB Contact/Source Investigation (CI/SI) Notification
Cure TB Transnational Notification - Referral from Local Health Departments Modified 280 140 6244 Form and Instruction n/a CureTB Transnational Notification
Individual Followup with Tuberculosis (TB) Patients Referred by ICE New 587 440 10997 Form and Instruction n/a CureTB Transnational Notificaiton
Individual Followup with Tuberculosis (TB) Patients Referred by LHD Modified 187 16 389 Form and Instruction n/a CureTB Transnational Notification
Total burden requested under this ICR: 3764 1081 30139  
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