Request to Transfer Select Agents and Toxins (APHIS/CDC Form 2)

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⚠️ Notice: This information collection may be referencing outdated material.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
Request to Transfer Select Agents and Toxins (APHIS/CDC Form 2) Form
Request to Transfer Select Agents and Toxins Attachment 17 - Request to Transfer.doc Form
APHIS/CDC FORM 2 REQUEST FOR TRANSFER SELECT AGENTS AND TOXINS Att2-Request for Transfer - Form 2.pdf hhtp://www.selectagents.gov/form2.html Form and Instruction
APHIS-CDC_Form_2_English_Fillable.pdf Drop down list IC Document
Att2a-Form2 SATRN Screenprint.docx Att 2a_Request to Transfer (screenshots) IC Document

Information Collection (IC) Details

IC Title:	Request to Transfer Select Agents and Toxins (APHIS/CDC Form 2)	Agency IC Tracking Number:	0920-0576 18FL

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Request to Transfer Select Agents and Toxins	Attachment 17 - Request to Transfer.doc		Yes	Yes	Fillable Fileable
Form and Instruction	APHIS/CDC FORM 2	REQUEST FOR TRANSFER SELECT AGENTS AND TOXINS	Att2-Request for Transfer - Form 2.pdf	hhtp://www.selectagents.gov/form2.html	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: 09-20-0170 National Select Agent Registry/Select Agent Transfer and Entity Registration Information System	FR Citation: 76 FR 4483

Number of Respondents: 188	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	188	188
Annual IC Time Burden (Hours)	188	188
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Drop down list	APHIS-CDC_Form_2_English_Fillable.pdf	12/01/2016
Att 2a_Request to Transfer (screenshots)	Att2a-Form2 SATRN Screenprint.docx	12/18/2017

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