Information Collection

Request to Transer Select Agent or Toxin

IC 186021 under ICR 200901-0920-006 · OMB 0920-0576.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0576 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0576 Request to Transer Select Agent or Toxin Form and Instruction
0920-0576 Request to Transfer Select Agent or Toxin Attachment 4-APHIS-CDC Form 2.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request to Transer Select Agent or Toxin	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 73 (16)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0576	Request to Transfer Select Agent or Toxin	Attachment 4-APHIS-CDC Form 2.doc		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: National Select Agent Registry/Select Agent Transfer and Entity Registration Information System	FR Citation: 72 FR 35993

Number of Respondents: 264	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,056	1,056
Annual IC Time Burden (Hours)	1,584	1,584
Annual IC Cost Burden (Dollars)	0	0

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.