Information Collection Request

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

ICR 202101-0920-019 · OMB 0920-0576 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-0576 Administrative Review Form Unchanged Repair queued
Form APHIS/CDC FORM 3 Incident Form to Report Potential Theft, Loss, Release, or Occpational Exposure Form and Instruction Unchanged Repair queued
Form 0920-0576 Records Form Unchanged Repair queued
Form APHIS/CDC FORM 2 Request to Transfer Select Agents and Toxins (APHIS/CDC Form 2) Form and Instruction Unchanged Repair queued
Form 0920-0576 Training Form Unchanged Repair queued
Form 0920-0576 Incident Response Plan Form Unchanged Repair queued
Form 0920-0576 Request Regarding a Restricted Experiment Form Unchanged Repair queued
Form 0920-0576 Biosafety Plan Form Unchanged Repair queued
Form 0920-0576 Security Plan Form Unchanged Repair queued
Form 0920-0576 Request for Expedited Review Form Unchanged Repair queued
Form 0920-0576 Documentation of Self-Inspection Form Unchanged Repair queued
Form 0920-0576 Amendment to a Certificate of Registration Form Unchanged Repair queued
Form APHIS/CDC FORM 1 Application for Registration (APHIS/CDC Form 1) Form Unchanged Repair queued
Form 0920-0576 Request for Exemption of Select Agent Agent and Toxin for an Investigational Product (APHIS/CDC Form 5) Form Unchanged Repair queued
Form 0920-0576 Report of Identification of a Select Agent or Toxin from a Clinical/Diagnostic Specimen Form and Instruction Unchanged Repair queued
Form 0920-0576 Request for Exclusions Form Unchanged Missing upstream
0920-0576-Non-substantive change request_2021-01-25.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-01-29 Missing upstream
Attachment 3 - System of Record Notice.PDF Supplementary Document Uploaded 2020-07-20 Repair queued
Attachment 2 - 60-DayFRN-CDC-2020-0034-0001.pdf Supplementary Document Uploaded 2020-07-20 Repair queued
Attachment 1 - CDC Select Agent Regulations.pdf Supplementary Document Uploaded 2020-07-20 Repair queued
Supporting Statement B.docx Supporting Statement B Uploaded 2020-07-20 Repair queued
0920-0576-2020REv-Supporting Statement A ICROv1200713 final.docx Supporting Statement A Uploaded 2020-07-20 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
217521 Administrative Review Form Unchanged
217520 Incident Form to Report Potential Theft, Loss, Release, or Occpational Exposure Form and Instruction Unchanged
217519 Records Form Unchanged
217518 Request to Transfer Select Agents and Toxins (APHIS/CDC Form 2) Form and Instruction Unchanged
217517 Training Form Unchanged
217516 Incident Response Plan Form Unchanged
217515 Request Regarding a Restricted Experiment Form Unchanged
217514 Biosafety Plan Form Unchanged
217512 Security Plan Form Unchanged
217511 Request for Expedited Review Form Unchanged
217510 Documentation of Self-Inspection Form Unchanged
217509 Amendment to a Certificate of Registration Form Unchanged
217508 Application for Registration (APHIS/CDC Form 1) Form Unchanged
217507 Request for Exemption of Select Agent Agent and Toxin for an Investigational Product (APHIS/CDC Form 5) Form Unchanged
217505 Report of Identification of a Select Agent or Toxin from a Clinical/Diagnostic Specimen Form and Instruction Unchanged
217504 Request for Exclusions Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
01/31/2024 01/31/2024
4,453 4,453
4,467 4,467
0 0





Reginfo record details
16
table that charts list of burden
IC Title Form No. Form Name
Report of Identification of a Select Agent or Toxin from a Clinical/Diagnostic Specimen 0920-0576 APHIS/CDC FORM 4A - REPORTING THE IDENTIFICATION OF A SELECT AGENT OR TOXIN FROM A CLINICAL/DIAGNOSTIC SPECIMEN
Security Plan 0920-0576 Secuity Plan
Biosafety Plan 0920-0576 Biosafety Plan
Records 0920-0576 Records
Training 0920-0576 Training
Request for Exclusions 0920-0576 Request for Exclusions
Request for Exemption of Select Agent Agent and Toxin for an Investigational Product (APHIS/CDC Form 5) 0920-0576 Request for Exemption
Application for Registration (APHIS/CDC Form 1) APHIS/CDC FORM 1 Application for Registration for Possession, Use, and Transfer of Select Agents and Toxins
Amendment to a Certificate of Registration 0920-0576 Amendment to Registration
Request to Transfer Select Agents and Toxins (APHIS/CDC Form 2) APHIS/CDC FORM 2 REQUEST FOR TRANSFER SELECT AGENTS AND TOXINS
Incident Form to Report Potential Theft, Loss, Release, or Occpational Exposure APHIS/CDC FORM 3 INCIDENT FORM TO REPORT POTENTIAL THEFT, LOSS, RELEASE, OR OCCUPATIONAL EXPOSURE
Administrative Review 0920-0576 Administrative Review
Documentation of Self-Inspection 0920-0576 Documentation of self-inspection
Request for Expedited Review 0920-0576 Request for Expedited Review
Request Regarding a Restricted Experiment 0920-0576 Request Regarding Restricted Experiment
Incident Response Plan 0920-0576 Incident Response Plan

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,453 4,453 0 0 0 0
Annual Time Burden (Hours) 4,467 4,467 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No