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 Unchanged 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 Unchanged 100 50 2230 Form and Instruction n/a CureTB Contact/Source Investigation (CI/SI) Notification
Cure TB Transnational Notification - Referral from Local Health Departments Unchanged 280 140 6244 Form and Instruction n/a CureTB Transnational Notification
CureTB Partner Feedback (at completion of referred patient's treatment) New 50 5 223 Form and Instruction n/a CureTB Partner Feedback
Other-Questionnaire annotated with skip logic
CureTB Partner Feedback (at time of patient referral) New 100 17 743 Form and Instruction n/a CureTB Partner Feedback
Other-Questionnaire annotated with skip logic
Individual Followup with Tuberculosis (TB) Patients Referred by ICE Unchanged 587 440 10997 Form and Instruction n/a CureTB Transnational Notificaiton
Individual Followup with Tuberculosis (TB) Patients Referred by LHD Unchanged 187 16 389 Form and Instruction n/a CureTB Transnational Notification
Total burden requested under this ICR: 3914 1103 31105  
To view an IC, click on IC Title