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International Laboratories
[NCEH] Distribution of Traceable Opioid Material* Kits (TOM Kits*) across U.S. Laboratories
OMB: 0920-1313
IC ID: 257355
OMB.report
HHS/CDC
OMB 0920-1313
ICR 202304-0920-004
IC 257355
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1313 can be found here:
2024-01-31 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-1313
International Laboratories
Form and Instruction
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
0920-1313 Test Kit Application and Questions for International Lab
Att5b Test Kit Applctn Qs Int Labs (screenshots) 20230410.png
Form and Instruction
0920-1313 Test Kit Application and Questions for International Lab
Att5b Test Kit Applctn Qs Int Labs (screenshots) 20230410.png
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
View Information Collection (IC)
IC Title:
International Laboratories
Agency IC Tracking Number:
0920-1313
Is this a Common Form?
Yes
IC Status:
Modified
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
Form and Instruction
0920-1313
Test Kit Application and Questions for International Laboratories (online)
Att5b Test Kit Applctn Qs Int Labs (screenshots) 20230410.png
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
300
0
0
0
0
300
Annual IC Time Burden (Hours)
20
0
0
0
0
20
Annual IC Cost Burden (Dollars)
0
0
0
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.