OMB control number

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

OMB 0920-0576 · HHS/CDC.

OMB 0920-0576

The Centers for Disease Control and Prevention (CDC) collects information under 42CFR Part 73, with the purpose of ensuring select agents or toxins are managed appropriately to prevent any threats to human health or safety. The program changes in this requested extension are primarily changes to the forms to clarify instructions, correct editorial errors from previous submissions, and reformat the structure of the forms based on the day-to-day processing of these forms. There is a reduction in burden due to the decrease in the number of respondents.

The latest form for [CPR] Possession, Use, and Transfer of Select Agents and Toxins (42 CFR 73) expires 2027-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-0576 Administrative Review Form
Form APHIS/CDC FORM 3 Incident Form to Report Potential Theft, Loss, Release, or Occpational Exposure (APHIS/CDC Form 3) Form and Instruction
Form 0920-0576 Records Form
Form APHIS/CDC Form 2 Request to Transfer Select Agents and Toxins (APHIS/CDC Form 2) Form and Instruction
Form 0920-0576 Training Form
Form 0920-0576 Incident Response Plan Form
Form 0920-0576 Request Regarding a Restricted Experiment Form
Form 0920-0576 Biosafety Plan Form
Form 0920-0576 Security Plan Form
Form 0920-0576 Request for Expedited Review Form
Form 0920-0576 Documentation of Self-Inspection Form
Form 0920-0576 Amendment to a Certificate of Registration Form
Form APHIS/CDC FORM 1 Application for Registration (APHIS/CDC Form 1) Form
Form Form 5 Request for Exemption of Select Agent Agent and Toxin for an Investigational Product (APHIS/CDC Form 5) Form
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
Form 0920-0576 Request for Exclusions Form
Attachment 20 - HSR Determination.pdf Supplementary Document
Attachment 3 - eFSAP SORN_2020-10-27.pdf Supplementary Document
Attachment 2 - 60-Day FRN_20231109.pdf Supplementary Document
Attachment 1 - 2017_FSAP-USDA-FinalRule.pdf Supplementary Document
Attachment 1 - 2017_FSAP-CDC-FinalRule.pdf Supplementary Document
0920-0576-2023-SSB.docx Supporting Statement B
0920-0576-2023-SSA_final.docx Supporting Statement A
Administrative Review Form
Incident Form to Report Potential Theft, Loss, Release, or Occpational Exposure (APHIS/CDC Form 3) Form and Instruction
Records Form
Request to Transfer Select Agents and Toxins (APHIS/CDC Form 2) Form and Instruction
Training Form
Incident Response Plan Form
Request Regarding a Restricted Experiment Form
Biosafety Plan Form
Security Plan Form
Request for Expedited Review Form
Documentation of Self-Inspection Form
Amendment to a Certificate of Registration Form
Application for Registration (APHIS/CDC Form 1) Form
Request for Exemption of Select Agent Agent and Toxin for an Investigational Product (APHIS/CDC Form 5) Form
Reporting the Identification of a Select Agent or Toxin from a Clinical/Diagnostic Specimen (APHIS/CDC Form 4A) Form and Instruction
Request for Exclusions Form

All Historical Document Collections

202312-0920-005 Approved without change	Extension without change of a currently approved collection	2024-01-17
202302-0920-015 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-02-21
202204-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-04-04
202203-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-03-22
202109-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-09-10
202107-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-07-07
202103-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-03-08
202101-0920-019 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-01-29
202006-0920-017	Revision of a currently approved collection	2020-07-21
201810-0920-006 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2018-10-23
201804-0920-015 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-05-01
201712-0920-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-12-19
201706-0920-009 Approved without change	Revision of a currently approved collection	2017-08-07
201701-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-01-27
201609-0920-014 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-12-05
201507-0920-006 Approved without change	Revision of a currently approved collection	2015-07-28
201412-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-12-22
201406-0920-016 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-06-26
201306-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-06-10
201210-0920-001 Approved without change	Revision of a currently approved collection	2012-10-04
201110-0920-007 Approved without change	Revision of a currently approved collection	2011-10-18
200901-0920-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-01-07
200808-0920-002 Approved with change	Revision of a currently approved collection	2008-08-06
200601-0920-003 Approved with change	Revision of a currently approved collection	2006-01-17
200510-0920-001 Approved without change	Revision of a currently approved collection	2005-10-21
200502-0920-005 Approved without change	Revision of a currently approved collection	2005-02-18
200308-0920-006 Approved with change	Revision of a currently approved collection	2003-08-25
200212-0920-002 Approved with change	New collection (Request for a new OMB Control Number)	2002-12-06

OMB Details

Request for Exclusions

Federal Enterprise Architecture: Health - Illness Prevention

Form 0920-0576

Request for Exclusions

Fillable Fileable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.