Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Mental Health Assessment Form - Recordkeeping Time Modified 3400 714 0 Form 1
Mental Health Assessment Form - Reporting Time Modified 3400 612 0 Form 1
Public Health Investigation Form: Active TB - Recordkeeping Time Modified 500 40 0 Form 1
Public Health Investigation Form: Active TB - Reporting Time Modified 500 40 0 Form 1
Public Health Investigation Form: Non-TB Illness - Recordkeeping Time Modified 100000 8000 0 Form 1
Public Health Investigation Form: Non-TB Illness - Reporting Time Modified 100000 8000 0 Form 1
Total burden requested under this ICR: 207800 17406 0  
To view an IC, click on IC Title