Information Collection Request

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

ICR 202312-0920-005 · OMB 0920-0576 · Received in OIRA

Forms and Documents

Document Name	Status
Form 0920-0576 Administrative Review Form	Modified
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	Modified
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	Modified
Form 0920-0576 Incident Response Plan Form	Modified
Form 0920-0576 Request Regarding a Restricted Experiment Form	Modified
Form 0920-0576 Biosafety Plan Form	Modified
Form 0920-0576 Security Plan Form	Modified
Form 0920-0576 Request for Expedited Review Form	Modified
Form 0920-0576 Documentation of Self-Inspection Form	Modified
Form 0920-0576 Amendment to a Certificate of Registration Form	Modified
Form APHIS/CDC FORM 1 Application for Registration (APHIS/CDC Form 1) Form	Modified
Form Form 5 Request for Exemption of Select Agent Agent and Toxin for an Investigational Product (APHIS/CDC Form 5) Form	Modified
Form APHIS/CDC Form 4 ( 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	Modified
Attachment 20 - HSR Determination.pdf Supplementary Document	2024-01-10
Attachment 3 - eFSAP SORN_2020-10-27.pdf Supplementary Document	2024-01-10
Attachment 2 - 60-Day FRN_20231109.pdf Supplementary Document	2024-01-10
Attachment 1 - 2017_FSAP-USDA-FinalRule.pdf Supplementary Document	2024-01-10
Attachment 1 - 2017_FSAP-CDC-FinalRule.pdf Supplementary Document	2024-01-10
0920-0576-2023-SSB.docx Supporting Statement B	2024-01-10
0920-0576-2023-SSA_final.docx Supporting Statement A	2024-01-10

IC Document Collections

IC ID	Document Title	Status
217521	Administrative Review Form	Modified
217520	Incident Form to Report Potential Theft, Loss, Release, or Occpational Exposure (APHIS/CDC Form 3) Form and Instruction	Modified
217519	Records Form	Modified
217518	Request to Transfer Select Agents and Toxins (APHIS/CDC Form 2) Form and Instruction	Modified
217517	Training Form	Modified
217516	Incident Response Plan Form	Modified
217515	Request Regarding a Restricted Experiment Form	Modified
217514	Biosafety Plan Form	Modified
217512	Security Plan Form	Modified
217511	Request for Expedited Review Form	Modified
217510	Documentation of Self-Inspection Form	Modified
217509	Amendment to a Certificate of Registration Form	Modified
217508	Application for Registration (APHIS/CDC Form 1) Form	Modified
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	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-0576
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	202302-0920-015
Agency Tracking No	0920-0576
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31