Select Agent Distribution Activity Application

Select Agent Distribution Activity: Request for Select Agent

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0591 can be found here:

Documents and Forms

Document Name Document Type
Att E SADA Application.doc Other-WORD
Att F_SADAFlowDiagram.pdf Att F SADA Flow Diagram IC Document

Information Collection (IC) Details

IC Title:	Select Agent Distribution Activity Application	Agency IC Tracking Number:

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
Other-WORD			Att E SADA Application.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	47,700	47,700

Documents for IC

Title	Document	Date Uploaded
Att F SADA Flow Diagram	Att F_SADAFlowDiagram.pdf	06/02/2011

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