OMB control number

Mandatory Guidelines for Federal Workplace Drug Testing Programs

OMB 0930-0158 · HHS/SAMHSA.

OMB 0930-0158

The Federal Drug Testing Custody and Control Form is used for the Mandatory Guidelines required to in the chain of custody procedures to document the integrity and security of a urine specimen from the time it is collected until it is received by the laboratory.

The latest form for Mandatory Guidelines for Federal Workplace Drug Testing Programs expires 2026-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 2026 FedCCF_Proof Donor Form and Instruction
Form 2026 CCF Urine Lab Laboratory Application Form and Instruction
Att C Supporting Statement A (Clean).docx Supporting Statement A
Copy of 0930-0158 CCF 60-Day Comment Matrix_10Dec_toHHS.xlsx Supplementary Document
Donor Form and Instruction
Laboratory Recordkeeping Instruction
Laboratory Inspection Checklist Instruction
Laboratory Application Form and Instruction
Medical Review Officer Instruction
Laboratory Instruction
Collector Instruction

All Historical Document Collections

202601-0930-002	Extension without change of a currently approved collection	2026-01-14
202303-0930-002 Approved without change	Extension without change of a currently approved collection	2023-03-22
202111-0930-002 Approved with change	No material or nonsubstantive change to a currently approved collection	2021-11-16
202006-0930-004 Approved without change	Revision of a currently approved collection	2020-07-01
201704-0930-001 Approved with change	Revision of a currently approved collection	2017-04-28
201406-0930-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-06-18
201307-0930-003 Approved with change	Revision of a currently approved collection	2013-07-24
201007-0930-002 Approved with change	Revision of a currently approved collection	2010-07-16
200908-0930-001 Approved without change	Extension without change of a currently approved collection	2009-08-10
200606-0930-001 Approved without change	Revision of a currently approved collection	2006-06-28
200304-0930-001 Approved without change	Revision of a currently approved collection	2003-04-21
200004-0930-001 Approved without change	Revision of a currently approved collection	2000-04-10
199809-0930-002 Approved without change	No material or nonsubstantive change to a currently approved collection	1998-09-10
199705-0930-001 Approved without change	Extension without change of a currently approved collection	1997-05-06
199406-0930-001 Approved without change	Revision of a currently approved collection	1994-06-16
199204-0930-001 Approved without change	New collection (Request for a new OMB Control Number)	1992-04-17

OMB Details

Donor

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0930-0158 _2023_FedCCF_PROOF

0930-0158 _2023_FedCCF_PROOF

Fillable Fileable

Form and instruction

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