Tuberculosis - State, Local Or Tribal Government

Tuberculosis

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0146 can be found here:

Documents and Forms

Document Name Document Type
Form VS 6-38 TUBERCULOSIS - STATE, LOCAL OR TRIBAL GOVERNMENT Form
VS 6-38 ACCREDITED AREA SURVEILLANCE FOR TUBERCULOSIS VS Form 6-38.doc Form
VS 6-22C Tuberculin Test Record 6-22C.doc Form
VS 6-22D Comparative Cervical Tuberculin Test Records vs6-22d.pdf Form
MOU.2009.doc MOU IC Document

Information Collection (IC) Details

IC Title:	TUBERCULOSIS - STATE, LOCAL OR TRIBAL GOVERNMENT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 9 CFR 77.4

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	VS 6-38	ACCREDITED AREA SURVEILLANCE FOR TUBERCULOSIS	VS Form 6-38.doc	No	Paper Only
Form	VS 6-22C	Tuberculin Test Record	6-22C.doc	No	Paper Only
Form	VS 6-22D	Comparative Cervical Tuberculin Test Records	vs6-22d.pdf	No	Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,165	2,165
Annual IC Time Burden (Hours)	3,952	3,952
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
MOU	MOU.2009.doc	06/11/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.