Non-Applicants (Providing Statement that Material is Non-Infectious)

[CPR] Import Permit Applications (42 CFR 71.54)

Documents and Forms

Document Name Document Type
Non-Applicants (Providing Statement that Material is Non-Infectious) Form and Instruction
Importer Certification Statement Attachment 4d - Importer Certification Statement_10.30.23.docx Form and Instruction
Importer Certification Statement Attachment 4d - Importer Certification Statement_10.30.23.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Non-Applicants (Providing Statement that Material is Non-Infectious)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 71

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Importer Certification Statement	Attachment 4d - Importer Certification Statement_10.30.23.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Electronic Import Permit Program	FR Citation: 85 FR 167

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	833	833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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