Information Collection Request

Select Agent Registration

ICR 201207-0579-003 · OMB 0579-0213 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form APHIS-CDC Form 4A Select Agent Registration (Private Sector) Form and Instruction Modified Available
Form APHIS-CDC Form 4A Select Agent Registration (State, Local & Tribal) Form and Instruction Modified Available
SS 2012.doc Supporting Statement A Uploaded 2012-11-30 Available
2012 APHIS 71 .xlsx Supplementary Document Uploaded 2012-10-12 Available
APHIS 79 -2012.xls Supplementary Document Uploaded 2012-10-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
2397 Select Agent Registration (Private Sector) Form and Instruction Modified
186793 Select Agent Registration (State, Local & Tribal) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2015 36 Months From Approved 02/28/2015
4,754 0 1,164
12,368 0 2,290
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Select Agent Registration (Private Sector) APHIS/CDC Form 4C, VS 16-3, VS 16-7, PPQ 526, APHIS-CDC Form 4A, APHIS-CDC Form 4B, APHIS/CDC Form 1, APHIS/CDC Form 2, APHIS/CDC Form 3, APHIS/CDC Form 5 Reporting the Identification of a Select Agent or Toxin in a Clinical/Diagnostic Specimen ,   Application for Permit to Import or Transport Controlled Material or Organisms or Vectors ,   Application and Permit to Move Live Plant Pests or Noxious Weeds ,   Additional Information for Cell Cultures and Their Products ,   Reporting the Identification of a Select Agent or Toxin: Proficiency Testing Report ,   Reporting the Identification of a Select Agent or Toxin: Federal Law Enforcement Seizure Report ,   Application for Registration for Possession, Use, and Transfer of Select Agents and Toxins ,   Request to Transfer Select Agents and Toxins ,   Report of Theft, Loss, or Release of Select Agents and Toxins ,   Request for Exemption of Select Agents and Toxins for Public Health or Agricultural Emergency or Investigational Product
Select Agent Registration (State, Local & Tribal) APHIS-CDC Form 4B, APHIS/CDC 4C, PPQ 526, APHIS-CDC Form 4A, VS 16-3, VS 16-7, APHIS/CDC Form 1, APHIS/CDC Form 2, APHIS/CDC Form 3, APHIS/CDC Form 5 Reporting the Identification of a Select Agent or Toxin in a Clinical/Diagnostic Specimen ,   Application for Permit to Import or Transport Controlled Material or Organisms or Vectors ,   Additional Information for Cell Cultures and Their Products ,   Application and Permit to Move Live Plant Pests or Noxious Weeds ,   Reporting the Identification of a Select Agent or Toxin: Proficiency Testing Report ,   Reporting the Identification of a Select Agent or Toxin: Federal Law Enforcement Seizure Report ,   Application for Registration for Possession, Use, and Transfer of Select Agents and Toxins ,   Request to Transfer Select Agents and Toxins ,   Report of Theft, Loss, or Release of Select Agents and Toxins ,   Request for Exemption of Select Agents and Toxins for Public Health or Agricultural Emergency or Investigational Product

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,754 1,164 0 3,335 255 0
Annual Time Burden (Hours) 12,368 2,290 0 9,823 255 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No