Information Collection for Tuberculosis Data from Panel Physicians

ICR 202108-0920-011

OMB: 0920-1102

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2021-08-26
Supplementary Document
2021-08-26
Supplementary Document
2021-08-26
Supplementary Document
2021-08-26
Supplementary Document
2021-08-26
Supplementary Document
2021-08-26
Supporting Statement B
2021-08-26
Supporting Statement A
2021-08-26
IC Document Collections
IC ID
Document
Title
Status
218237 Modified
ICR Details
0920-1102 202108-0920-011
Received in OIRA 201808-0920-002
HHS/CDC 0920-1102
Information Collection for Tuberculosis Data from Panel Physicians
Revision of a currently approved collection   No
Regular 08/30/2021
  Requested Previously Approved
36 Months From Approved 09/30/2021
333 336
999 1,008
105,115 104,459

More than 760 panel physicians perform overseas pre-departure medical examinations at 336 panel sites. Screening for tuberculosis is an important part of the medical exam in order to diagnose active TB disease prior to arrival in the U.S. The goal of the data collection is to determine TB rates in immigrant and refugee populations migrating to the US. Data are used to improve the quality of TB screening overseas and assess the impact of CDC's TB Technical Instructions. This Revision has minor adjustments.

US Code: 8 USC 1182 Name of Law: Immigration and Nationality Act
   US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  86 FR 28356 05/26/2021
86 FR 48144 08/27/2021
Yes

1
IC Title Form No. Form Name
TB Indicator Reporting Form none TB Indicator Data Reporting Form

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 333 336 0 -3 0 0
Annual Time Burden (Hours) 999 1,008 0 -9 0 0
Annual Cost Burden (Dollars) 105,115 104,459 0 656 0 0
No
Yes
Miscellaneous Actions
The decrease is due to a slight adjustment to the number of respondents.

$29,123
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Kevin Joyce 404 639-1944 kdj7@cdc.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/30/2021


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