Information Collection

Att 3b_GFAT_v4.7

IC 243432 under ICR 202009-0920-001 · OMB 0920-1309.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1309 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDC 0920- Att 3b_GFAT_v4.7	Form and Instruction
CDC 0920- GFATv4.7 Att 3b GFAT_v4.7.xlsx	Form and Instruction

IC Title:

Att 3b_GFAT_v4.7

Agency IC Tracking Number:

0920-20EC

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CDC 0920-	GFATv4.7	Att 3b GFAT_v4.7.xlsx		No		Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: 09-20-0108 Specimen Handling for Testing and Related Data

FR Citation: 51 FR 42464

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	165	165
Annual IC Time Burden (Hours)	55	55
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.