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Federal forms, ICRs, and supporting documents

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Request for Exemption of Select Agent and Toxin for an Investigational Product (APHIS/CDC Form 5)

IC 217507 under ICR 202312-0920-005 · OMB 0920-0576.

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Request for Exemption of Select Agent Agent and Toxin for an Investigational Product (APHIS/CDC Form 5)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Form 5 Request for Exemption Attachment 6 - APHIS-CDC_Form_5_English_Fillable_clean.pdf Yes Yes Fillable Fileable

Health Illness Prevention

09-20-0170 National Select Agent Registry/Select Agent Transfer and Entity Registration Information System   76 FR 4483

1 0
   
State, Local, and Tribal Governments
 
   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 1 0 0 0 0 1
Annual IC Time Burden (Hours) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Form 5 Guidance Attachment 6 - APHIS-CDC_Form_5_Guidance_track.pdf 01/10/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.