Report of Identification of Select Agent or Toxin

Possession, Use, and Transfer of Select Agents and Toxins (42 CFR 73)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0576 can be found here:

Documents and Forms

Document Name Document Type
Report of Identification of Select Agent or Toxin Form
Reporting the Identification APHIS-CDC Form 4A_Reference_clean verison_2014-12-10-14.pdf Form
4B APHIS-CDC Form 4B ProficiencyTest doc_clean version_2014-12-10.pdf Form
4C APHIS-CDC Form 4C FederalLaw_clean version_2014-12-10.pdf Form

Information Collection (IC) Details

IC Title:	Report of Identification of Select Agent or Toxin	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 73(5)(6) 42 CFR 73.6 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Reporting the Identification	APHIS-CDC Form 4A_Reference_clean verison_2014-12-10-14.pdf	Yes	Yes	Fillable Fileable
Form	none	4B	APHIS-CDC Form 4B ProficiencyTest doc_clean version_2014-12-10.pdf	Yes	Yes	Fillable Fileable
Form	none	4C	APHIS-CDC Form 4C FederalLaw_clean version_2014-12-10.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title: National Select Agent Registry (NSAR) Select Agent Transfer and Entity Registration Information System (SATERIS), HHS/CDC/COPTER	FR Citation: 76 FR 4483

Number of Respondents: 320	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,880	2,880
Annual IC Time Burden (Hours)	2,880	2,880
Annual IC Cost Burden (Dollars)	0	0

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.