View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

MPEP Mycobacterium Tuberculosis Results
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Attachment G: MPEP Mycobacterium Tuberculosis Results Att G MPEP M tuberculosis worksheet.docx Yes Yes Fillable Fileable

Health Health Care Services

 

93 0
   
State, Local, and Tribal Governments
 
   100 %

  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 186 0 -78 0 0 264
Annual IC Time Burden (Hours) 93 0 -39 0 0 132
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att E Preshipment Email_page 1 Att E Preshipment Email_page 1.docx 04/22/2013
Att F Instructions for particpants Att F Instructions for particpants.docx 04/22/2013
Att I Reminder Email Att I Reminder Email.docx 04/22/2013
Att J Reminder Telephone Script Att J Reminder Telephone Script.docx 04/22/2013
Att K Aggregate Report Letter Att K Aggregate Report Letter.docx 04/22/2013
Att L Final Aggregate Report Att L Final Aggregate Report.pdf 04/22/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.