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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Tuberculosis Education Materials for Classified Immigrants
Agency IC Tracking Number:
0920-1071 (18ABU)
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-1071
Att C_B1 Key Informant Interview Guide
Att C - B1 Key Informant Interview Guide MX.DOCX
No
Paper Only
Form and Instruction
0920-1071
Att D_B2 Key Information Interview Guide--MX
Att D - B2 Key Informant Interview Guide MX.DOCX
No
Paper Only
Form and Instruction
0920-1071
Att E_B1 Key Information Interview Guide -- US
Att E - B1 Key Informant Interview Guide US.DOCX
No
Paper Only
Form and Instruction
0920-1071
Att F_B2 Key Informant Interview Guide -- US
Att F - B2 Key Informant Interview Guide US.DOCX
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
70
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
70
0
70
0
0
0
Annual IC Time Burden (Hours)
129
0
129
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for APPROVAL
Request Approval_TB Education Materials.docx
04/25/2018
Att A: B1 Sample Education Materials
Att A - B1 Sample Education Materials.docx
04/25/2018
Att B: B2 Sample Education Materials
Att B - B2 Sample Education Materials.docx
04/25/2018
Att G_B1B2 Approach Script
Att G - Approach Script.docx
04/25/2018
Att H_Non Research Determination
Att H - Non-research determination.pdf
04/25/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.