Justification for Minor Wording Changes to Form4 (March 2022)

0920-0576-Form4 Non-SubChangeRequest_220321.docx

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

Justification for Minor Wording Changes to Form4 (March 2022)

OMB: 0920-0576

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Justification for Change



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

(OMB Control No. 0920-0576) Expiration 1/31/2024



Non-substantive Change Request



Centers for Disease Control and Prevention

Office of Public Health Preparedness and Response

Division of Select Agents and Toxins





Meredith Parrado, DHSc, MSPH

404.498.0878

March 21, 2022

[email protected]











Nonmaterial/non-substantive change to an OMB approved information collection for Possession, Use, and Transfer of Select Agents and Toxins (42 CFR Part 73) (OMB Control No. 0920-0576) Expiration 1/31/2024

Mini Supporting Statement



Justification for Change



This is a request for nonmaterial/non-substantive change to Form 4A_SectionsAB and Form 4A_SectionsCD. The changes are as follow:

Form 4A_SectionsAB – added “Zip code for case/patient/sample” to B7 to match the statement on CD.

Form 4A_SectionsCD – added the word “reported” to D2 to clarify the statement

These changes are proposed to enhance clarity for the respondents. The proposed changes will not change the burden of this ICR.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJacob, Cara J. (CDC/DDPHSIS/CPR/DSAT)
File Modified0000-00-00
File Created2022-04-05

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