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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.