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Federal forms, ICRs, and supporting documents

Information Collection Request

Select Agent Distribution Activity: Request for Select Agent

ICR 200304-0920-002 · OMB 0920-0591 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7053 Select Agent Distribution Activity: Request for Select Agent Migrated
ICR Details
0920-0591 200304-0920-002
Historical Active
HHS/CDC
Select Agent Distribution Activity: Request for Select Agent
New collection (Request for a new OMB Control Number)   No
Emergency 04/11/2003
Approved with change 04/22/2003
Retrieve Notice of Action (NOA) 04/10/2003
Approved consistent with changes described in CDC memos of 4-18- 03 and 4-21-03 and revised form attached. CDC shall revisit the issue of electronic submission in its next submission of this collection.
  Inventory as of this Action Requested Previously Approved
10/31/2003 10/31/2003
900 0 0
450 0 0
0 0 0
This form is a combination of application, material transfer agreement and indemnification statements. Researchers will use the form to request Select Agents from the National Center for Infectious Diseases. The Select Agent Distribution Activity (SADA) will use the information to evaluate the appropriateness of requests for Select Agents.
None
None
No
1
IC Title Form No. Form Name
Select Agent Distribution Activity: Request for Select Agent
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 900 0 0 900 0 0
Annual Time Burden (Hours) 450 0 0 450 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/10/2003