Information Collection

Electronic Federal Select Agent Program (eFSAP) Information System Survey

IC 277060 under ICR 202506-0920-002 · OMB 0920-1050.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1050 Electronic Federal Select Agent Program (eFSAP) Information System Survey Electronic Federal Select Agent Program (eFSAP) Information System Survey	Form and Instruction
0920-1050 Electronic Federal Select Agent Program (eFSAP) Informat Att1-eFSAP IS Survey.docx	Form and Instruction
ORR-0920-1050 GenIC Request.docx 0920-1050 GenIC Request Template	IC Document

IC Title:

Agency IC Tracking Number:

0920-25-0101

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1050			N/A	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 750

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	188	188
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0920-1050 GenIC Request Template		08/14/2025

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].