Donor

Mandatory Guidelines for Federal Workplace Drug Testing Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0158 can be found here:

Documents and Forms

Document Name Document Type
Form Federal CCF Donor Form and Instruction
Federal CCF Federal CCF Attachment D.pdf Form and Instruction
Attachment A.pdf Authorizing Legislation and Exec Order IC Document
Attachment B.pdf Mandatory Guidelines IC Document
Attachment C.pdf Mandatory Guidelines Effect. Date IC Document

Information Collection (IC) Details

IC Title:	Donor	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Federal CCF	Federal CCF	Attachment D.pdf		Yes	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,096,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,096,000	-21,288,168	28,384,168
Annual IC Time Burden (Hours)	567,680	-1,219,129	1,786,809
Annual IC Cost Burden (Dollars)	2,212,000	122,000	2,090,000

Documents for IC

Title	Document	Date Uploaded
Authorizing Legislation and Exec Order	Attachment A.pdf	07/15/2010
Mandatory Guidelines	Attachment B.pdf	07/15/2010
Mandatory Guidelines Effect. Date	Attachment C.pdf	07/15/2010

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