Information Collection

Laboratory Application

IC 193836 under ICR 202601-0930-002 · OMB 0930-0158.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2026 CCF Urine Lab 2026 CCF Urine Lab Application Laboratory Application	Form and Instruction
Form 2026 CCF Urine Lab 2026 CCF Urine Lab Checklist Laboratory Application	Form and Instruction
2026 CCF Urine Lab 2026 CCF Urine Lab Application Att J Urine_Lab_Application_April2025.pdf	Form and Instruction
2026 CCF Urine Lab 2026 CCF Urine Lab Checklist Att K Urine_LAB_Info_Checklist_April2025.pdf	Form and Instruction
Att N IITF_Application_April2025.pdf 2026 Instrumented Initial Test Facility (IITF) Application Form	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	2026 CCF Urine Lab Application				Yes	Yes	Fillable Fileable
Form and Instruction	2026 CCF Urine Lab Checklist				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20	10	10
Annual IC Time Burden (Hours)	60	30	30
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2026 Instrumented Initial Test Facility (IITF) Application Form		01/13/2026

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

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