Request for Exemption of Select Agent and Toxin for an Investigational Product (APHIS/CDC Form 5)

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

OMB: 0920-0576

IC ID: 217507

Information Collection (IC) Details

View Information Collection (IC)

Request for Exemption of Select Agent Agent and Toxin for an Investigational Product (APHIS/CDC Form 5)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0576 Request for Exemption Att7 - Request for Exemptionv1.docx Yes Yes Fillable Fileable

Health Illness Prevention

09-20-0170 National Select Agent Registry/Select Agent Transfer and Entity Registration Information System   76 FR 4483

1 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1 0 0 0 0 1
Annual IC Time Burden (Hours) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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