Federal Laboratories

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

Documents and Forms

Document Name Document Type
Form 0920-1313 Federal Laboratories Form and Instruction
Form 0920-1313 Federal Laboratories Form and Instruction
0920-1313 Test Kit Application and Questions for US Laboratories ( Att5a Test Kit Applctn Qs US Labs (Word) 20240116_clean.docx Form and Instruction
0920-1313 Test Kit Application and Questions for US Laboratories ( Att5a Test Kit Applctn Qs US Labs (Word) 20240116_clean.docx Form and Instruction
Cayman_FASKit_Form_Domestic_Basic_2023-11-21.png Screenshot IC Document
Cayman_FASKit_Form_Domestic_Basic_2023-11-21.png Screenshot IC Document

Information Collection (IC) Details

IC Title:	Federal 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	Test Kit Application and Questions for US Laboratories (online)	Att5a Test Kit Applctn Qs US Labs (Word) 20240116_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Screenshot	Cayman_FASKit_Form_Domestic_Basic_2023-11-21.png	01/29/2024

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