Application for Permit to Import Infectious Biological Agents into the United States

Import Permit Applications (42 CFR 71.54)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0199 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0199 Application for Permit to Import Infectious Biological Agents into the United States Form
0920-0199 Application for Permit to Import Infectious Biological A Att5-AppforBioAgents-clean.pdf Form
Att5i-AppforBioAgents-tracked.doc Application for Permit to Import (Track changes IC Document

Information Collection (IC) Details

IC Title:	Application for Permit to Import Infectious Biological Agents into the United States	Agency IC Tracking Number:	0920-0199

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 71.54.Subpart F

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-0199	Application for Permit to Import Infectious Biological Agents into the United States	Att5-AppforBioAgents-clean.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Etiological Agent Import Permit Program (EAIPP) 2.0, HHS/CDC/OPHPR	FR Citation: 78 FR 7674

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,000	375	1,625
Annual IC Time Burden (Hours)	667	125	542
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Application for Permit to Import (Track changes	Att5i-AppforBioAgents-tracked.doc	03/20/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.