Form 0920-1154 FSAP Survey System Enhancement

Form Approved

OMB Approval No. 0920-1154

Expiration Date: 01/31/2020

Regulated Entity Technology Evaluation Survey

Purpose and Scope: The Centers for Disease Control and Prevention, Office of Public Health Preparedness and Response, (DSAT) is conducting a survey to better understand what systems are used by regulated entities to store, maintain, and control information and records required by Federal Select Agents and Toxins regulations. The goal of this information gathering survey is to identify a potential streamlined solution targeted at reducing the administrative burden on entities in preparation for and during inspections. The target audience for this survey are Responsible Officials (RO’s) and Alternative Responsible Officials (ARO’s) of regulated entities.

1. Which of these best describes your entity that uses eFSAP?

   1. Industry

   2. Academic

   3. Federal Government

   4. State or Local Government

   5. Other, explain____________________________________________________________

2. What is the approximate number of personnel approved for access to Select Agents or Toxins (SRA Approved)?

   1. 1-10

   2. 11-50

   3. 51-100

   4. 100+

3. Are you currently using an electronic system to manage records besides eFSAP required to be kept under the Select Agents and Toxins regulations?

   1. Yes

   2. No

4. If yes, please list all electronic systems used at your entity to store and collect the following information specific to your Select Agents and Toxins program:

   1. Inventory: ________________________________________________________________________

   2. Training Records: ________________________________________________________________________

   3. Access Control: ________________________________________________________________________

   4. Plans and Standard Operating Procedures (SOP’s): ________________________________________________________________________

   5. Other systems

Public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-1154).

 

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