Reporting the Identification of a Select Agent or Toxin from a Clinical/Diagnostic Specimen (APHIS/CDC Form 4A)

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

OMB: 0920-0576

IC ID: 217505

Documents and Forms

Document Name Document Type
Form APHIS/CDC Form 4 ( Reporting the Identification of a Select Agent or Toxin from a Clinical/Diagnostic Specimen (APHIS/CDC Form 4A) Form and Instruction
APHIS/CDC Form 4 (A, B, C) Reporting the Identification of a Select Agent or Toxin from a Clinical/Diagnostic Specimen Attachment 5 - APHIS-CDC_Form_4_English_Fillable_Clean.pdf Form and Instruction
Attachment 5 - APHIS-CDC Form 4A_Guidance_track.pdf Form 4 Guidance IC Document