Information Collection

Application for Registration

IC 7036 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0576 Application for Registration	Form and Instruction
0920-0576 Application for Registration Attachment 4-APHIS-CDC Form 1.doc	Form and Instruction
APHIS-CDC Form 1.doc Change to Application for Registration	IC Document

IC Title:

Application for Registration

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 73 7(d)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0576	Application for Registration	Attachment 4-APHIS-CDC Form 1.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: 5

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Change to Application for Registration	APHIS-CDC Form 1.doc	12/22/2008

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