Report of Theft, Loss or Release of Select Agent or Toxin (APHIS/CDC Form 3) - Guidance

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⚠️ Notice: This information collection may be referencing outdated material.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 Theft, Loss or Release of Select Agent or Toxin (APHIS/CDC Form 3) - Guidance Form and Instruction
Guidance Document for the completion of APHIS/CDC Form 3 Att4a-Form3Guide.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Report of Theft, Loss or Release of Select Agent or Toxin (APHIS/CDC Form 3) - Guidance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Guidance Document for the completion of APHIS/CDC Form 3	Att4a-Form3Guide.docx	NA	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title: RISC and OIRA Consolidated Information System	FR Citation: 76 FR 4483

Number of Respondents: 205	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	205	205
Annual IC Time Burden (Hours)	103	103
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.