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⚠️ Notice: This information collection may be referencing outdated material.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
Form APHIS/CDC FORM 2 Request to Transfer Select Agents and Toxins (APHIS/CDC Form 2) Form and Instruction
APHIS/CDC FORM 2 REQUEST FOR TRANSFER SELECT AGENTS AND TOXINS Att17 - Request to Transferv1.docx hhtp://www.selectagents.gov/form2.html Form and Instruction

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: Modified

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 and Instruction	APHIS/CDC FORM 2	REQUEST FOR TRANSFER SELECT AGENTS AND TOXINS	Att17 - Request to Transferv1.docx	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: 253	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	253	65	188
Annual IC Time Burden (Hours)	380	192	188
Annual IC Cost Burden (Dollars)	0	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.