International Laboratories

[NCEH] Distribution of Traceable Opioid Material* Kits (TOM Kits*) across U.S. Laboratories

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1313 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1313 International Laboratories Form and Instruction
0920-1313 Att5b Test Kit Qs Int Labs (Word) 20221202 Att5b Test Kit Qs Int Labs (Word) 20221202.docx Form and Instruction
0920-1313 Att5b Test Kit Qs Int Labs (Word) 20221202 Att5b Test Kit Qs Int Labs (Word) 20221202.docx Form and Instruction
Att5a Test Kit Applctn Qs US Labs (screenshots) 20221202.jpg Screenshot IC Document
Att5a Test Kit Applctn Qs US Labs (screenshots) 20221202.jpg Screenshot IC Document

Information Collection (IC) Details

IC Title:	International Laboratories	Agency IC Tracking Number:	0920-1313

Is this a Common Form? Yes		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	0920-1313	Att5b Test Kit Qs Int Labs (Word) 20221202	Att5b Test Kit Qs Int Labs (Word) 20221202.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	300	100	200
Annual IC Time Burden (Hours)	20	0	20
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Screenshot	Att5a Test Kit Applctn Qs US Labs (screenshots) 20221202.jpg	12/13/2022

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