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⚠️ Notice: This information collection may be referencing outdated material.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 to Transfer Select Agents and Toxins APHIS-CDC_Form_2_clean version_2021-08-17.docx www.selectagents.gov/form2.html Form and Instruction
APHIS/CDC Form 2 Request to Transfer Select Agents and Toxins APHIS-CDC_Form_2_clean version_2021-08-17.docx www.selectagents.gov/form2.html Form and Instruction
0920-0576 Request to Transfer a Select Agent and Toxin APHIS-CDC_Form_2_clean version_2021-03-03_20220321_Clean.docx Form and Instruction
0920-0576 Request to Transfer a Select Agent and Toxin APHIS-CDC_Form_2_clean version_2021-03-03_20220321_Clean.docx Form and Instruction
APHIS-CDC_Form_2_tracked changes_2020-03-03.docx APHIS/CDC Form 2 with edits in tracked-changes IC Document
APHIS-CDC_Form_2_tracked changes_2020-03-03.docx APHIS/CDC Form 2 with edits in tracked-changes IC Document

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 to Transfer Select Agents and Toxins	APHIS-CDC_Form_2_clean version_2021-08-17.docx	http://www.selectagents.gov/form2.html	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0576	Request to Transfer a Select Agent and Toxin	APHIS-CDC_Form_2_clean version_2021-03-03_20220321_Clean.docx	NA	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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	253	253
Annual IC Time Burden (Hours)	380	380
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
APHIS/CDC Form 2 with edits in tracked-changes	APHIS-CDC_Form_2_tracked changes_2020-03-03.docx	03/05/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.