MPEP Mycobacterium Tuberculosis Results

CDC Model Performance Evaluation Program (MPEP) for Mycobacterium tuberculosis and Nontuberculous Mycobacteria Drug Susceptibility Testing

Documents and Forms

Document Name Document Type
Form 0920-0600 MPEP Mycobacterium Tuberculosis Results Form
0920-0600 Att. 7-Results Worksheet Att. 7-Results Worksheet.docx Form
0920-0600 Att. 7-Results Worksheet Att. 7-Results Worksheet.docx Form

Information Collection (IC) Details

IC Title:	MPEP Mycobacterium Tuberculosis Results	Agency IC Tracking Number:	0920-0600

Is this a Common Form? No		IC Status: Modified

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	0920-0600	Att. 7-Results Worksheet	Att. 7-Results Worksheet.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	160	0	160
Annual IC Time Burden (Hours)	80	0	80
Annual IC Cost Burden (Dollars)	0	-2,957	2,957

Documents for IC

Title	Document	Date Uploaded
No associated records found

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