Information Collection Request

[CPR] Possession, Use, and Transfer of Select Agents and Toxins (42 CFR 73)

ICR 202302-0920-015 · OMB 0920-0576 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-0576 can be found here:

2024-01-17 - Extension without change of a currently approved collection

Forms and Documents

Document Name	Status
Form 0920-0576 Administrative Review Form	Unchanged
Form APHIS/CDC FORM 3 Incident Form to Report Potential Theft, Loss, Release, or Occpational Exposure (APHIS/CDC Form 3) Form and Instruction	Modified
Form 0920-0576 Records Form	Unchanged
Form APHIS/CDC Form 2 Request to Transfer Select Agents and Toxins (APHIS/CDC Form 2) Form and Instruction	Modified
Form 0920-0576 Training Form	Unchanged
Form 0920-0576 Incident Response Plan Form	Unchanged
Form 0920-0576 Request Regarding a Restricted Experiment Form	Unchanged
Form 0920-0576 Biosafety Plan Form	Unchanged
Form 0920-0576 Security Plan Form	Unchanged
Form 0920-0576 Request for Expedited Review Form	Unchanged
Form 0920-0576 Documentation of Self-Inspection Form	Unchanged
Form 0920-0576 Amendment to a Certificate of Registration Form	Unchanged
Form APHIS/CDC FORM 1 Application for Registration (APHIS/CDC Form 1) Form	Unchanged
Form 0920-0576 Request for Exemption of Select Agent Agent and Toxin for an Investigational Product (APHIS/CDC Form 5) Form	Modified
Form APHIS/CDC Form 4A Reporting the Identification of a Select Agent or Toxin from a Clinical/Diagnostic Specimen (APHIS/CDC Form 4A) Form and Instruction	Modified
Form 0920-0576 Request for Exclusions Form	Unchanged
0920-0576-Forms2-5 Non-SubChangeRequest.docx Justification for No Material/Nonsubstantive Change	2023-02-21
0920-0576-Form1 Non-SubChangeRequest-220322.docx Justification for No Material/Nonsubstantive Change	2022-04-04
0920-0576-Form4 Non-SubChangeRequest_220321.docx Justification for No Material/Nonsubstantive Change	2022-03-21
Non-substantive change request_2021-08-13.docx Justification for No Material/Nonsubstantive Change	2021-09-10
0920-0576-Form1 Non-SubChangeRequest-210630.docx Justification for No Material/Nonsubstantive Change	2021-07-07
0920-0576-Non-substantive change request_2021-02-24v2.docx Justification for No Material/Nonsubstantive Change	2021-03-05
0920-0576-Non-substantive change request_2021-01-25.docx Justification for No Material/Nonsubstantive Change	2021-01-29
Attachment 3 - System of Record Notice.PDF Supplementary Document	2020-07-20
Attachment 2 - 60-DayFRN-CDC-2020-0034-0001.pdf Supplementary Document	2020-07-20
Attachment 1 - CDC Select Agent Regulations.pdf Supplementary Document	2020-07-20
Supporting Statement B.docx Supporting Statement B	2020-07-20
0920-0576-2020REv-Supporting Statement A ICROv1200713 final.docx Supporting Statement A	2020-07-20

IC Document Collections

IC ID	Document Title	Status
217521	Administrative Review Form	Unchanged
217520	Incident Form to Report Potential Theft, Loss, Release, or Occpational Exposure (APHIS/CDC Form 3) Form and Instruction	Modified
217519	Records Form	Unchanged
217518	Request to Transfer Select Agents and Toxins (APHIS/CDC Form 2) Form and Instruction	Modified
217517	Training Form	Unchanged
217516	Incident Response Plan Form	Unchanged
217515	Request Regarding a Restricted Experiment Form	Unchanged
217514	Biosafety Plan Form	Unchanged
217512	Security Plan Form	Unchanged
217511	Request for Expedited Review Form	Unchanged
217510	Documentation of Self-Inspection Form	Unchanged
217509	Amendment to a Certificate of Registration Form	Unchanged
217508	Application for Registration (APHIS/CDC Form 1) Form	Unchanged
217507	Request for Exemption of Select Agent Agent and Toxin for an Investigational Product (APHIS/CDC Form 5) Form	Modified
217505	Reporting the Identification of a Select Agent or Toxin from a Clinical/Diagnostic Specimen (APHIS/CDC Form 4A) Form and Instruction	Modified
217504	Request for Exclusions Form	Unchanged

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-0576
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202204-0920-003
Agency Tracking No	0920-0576-23CR
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31