Select Agent Distribution Activity Application

Select Agent Distribution Activity: Request for Select Agent

Documents and Forms

Document Name Document Type
Select Agent Distribution Activity Application Form
SADA Application Att C SADA Application.doc Form

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: 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	none	SADA Application	Att C SADA Application.doc		Yes	No	Printable Only

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	Previously Approved
Annual Number of Responses for this IC	900	0	900
Annual IC Time Burden (Hours)	450	0	450
Annual IC Cost Burden (Dollars)	0	-47,700	47,700

Documents for IC

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.