Information Collection

Biennial Publication of the Select Agent and Toxin List; Regulatory Amendments

IC 199488 under ICR 201109-0579-011 · OMB 0579-0389.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form APHIS/CDC Form 1 Biennial Publication of the Select Agent and Toxin List; Regulatory Amendments	Form and Instruction
APHIS/CDC Form 1 Application for Laboratory Registration for Possession, APHIS-CDC Form 1_9-08.doc www.selectagents.gov	Form and Instruction
APHIS/CDC Form 2 Re[prt pf Transfer of Select Agents and Toxins APHIS-CDC Form 2_5-08.doc www.selectagents.gov	Form and Instruction
APHIS/CDC Form 3 Report of Theft, Loss, or Release of Select Agents and T APHIS-CDC Form 3_5-08.doc www.selectagents.gov	Form and Instruction
APHIS/CDC Form 4 Report of the Identification of a Select Agent or Toxin APHIS-CDC Form 4_2008-01-09.doc www.selectagents.gov	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

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	APHIS/CDC Form 1	Application for Laboratory Registration for Possession, Use, and Transfer of Select Agents and Toxins	APHIS-CDC Form 1_9-08.doc	http://www.selectagents.gov	Yes	No	Fillable Printable
Form and Instruction	APHIS/CDC Form 2	Re[prt pf Transfer of Select Agents and Toxins	APHIS-CDC Form 2_5-08.doc	http://www.selectagents.gov	Yes	No	Fillable Printable
Form and Instruction	APHIS/CDC Form 3	Report of Theft, Loss, or Release of Select Agents and Toxins	APHIS-CDC Form 3_5-08.doc	http://www.selectagents.gov	Yes	No	Fillable Printable
Form and Instruction	APHIS/CDC Form 4	Report of the Identification of a Select Agent or Toxin in a Clinical or Diagnostic Laboratory	APHIS-CDC Form 4_2008-01-09.doc	http://www.selectagents.gov	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 220

Number of Respondents for Small Entity: 176

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,150	2,150
Annual IC Time Burden (Hours)	5,704	5,704
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.