Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Cure TB Transnational Notification (referral from LHDs) Modified 300 150 0 Form and Instruction CS347315-A (02/01/2024) CureTB Transnational Notification
CureTB Contact/Source Investigation (CI/SI) Notification (USHD - local & state) Modified 100 50 0 Form and Instruction CS347315-B (Revised 01/2024) CureTB Contact/Source Investigation (CI/SI) Notification
CureTB Partner Feedback (Satisfaction Assessment) Questionnaire 1 Modified 100 17 0 Form and Instruction 0920-1186 CureTB Partner Feedback
Other-Questionnaire annotated with skip logic
CureTB Partner Feedback (Satsifaction Assessment) Questionnaire 2 Modified 50 5 0 Form and Instruction 0920-1186 CureTB Partner Feedback
Other-Questionnaire annotated with skip logic
CureTB Transnational Notification (TB patients referred by ICE) Modified 600 450 0 Form and Instruction CS347315-A (02/01/2024) CureTB Transnational Notificaiton
CureTB Transnational Notification (TB patients referred by USHD) Modified 200 17 0 Form and Instruction CS347315-A (02/01/2024) CureTB Transnational Notification
Telephone Script Clinician /Foreign Health Authority Follow-up (CureTB) Modified 2700 450 0 Form and Instruction 0920-1186 Telephone Script for Clinician/Foreign Health Authority Referral Follow-up
Total burden requested under this ICR: 4050 1139 0  
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