OMB control number

[NCEH] Distribution of Traceable Opioid Material* Kits (TOM Kits*) across U.S. and International Laboratories

OMB 0920-1313 · HHS/CDC.

OMB 0920-1313

The purpose of this information collection (IC) is for the CDC to assure that the Traceable Opioid Material* Kits (TOM Kits*) are being distributed to different types of laboratories in public, private, and non-profit sectors. The intended use is: 1) To gather information on the types of laboratories requesting the kits. 2) To determine the types of instrumentation, matrices, and sample size for those requesting kits. Data will be collected by online survey. This Extension ICR is submitted to renew the data collection for an additional three years. There is no change to the approved burden hours.

The latest form for [NCEH] Distribution of Traceable Opioid Material* Kits (TOM Kits*) across U.S. and International Laboratories expires 2029-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-1313 Att5b Test Kit Qs Int Labs (Word) 20221202 Form and Instruction
Form 0920-1313 Att5a Test Kit Applctn Qs US Labs (Word) 20221202 (document unavailable) Form and Instruction
Form 0920-1313 Att5a Test Kit Applctn Qs US Labs (Word) 20221202 (document unavailable) Form and Instruction
Form 0920-1313 Test Kit Application and Questions for US Laboratories (online) (document unavailable) Form and Instruction
Att 7 TOM Kits STARS Determination.pdf (document unavailable) Supplementary Document
Att6 TOM Kits PIA 20251217 signed.pdf (document unavailable) Supplementary Document
Att3 TOM Kits Factsheet.pdf (document unavailable) Supplementary Document
Att2a TOM Kits CR 60-Day FRN Public Comment Summary.docx (document unavailable) Public Comments
Att2 0920–1313_60-day FRN.pdf Supplementary Document
1 - SS-B TOM Kits_03FEB2026.docx Supporting Statement B
1 - SS-A TOM Kits_03FEB2026.docx (document unavailable) Supporting Statement A
0920-1313 Nonmaterial Change Justification.docx (document unavailable) Justification for No Material/Nonsubstantive Change
0920-1313 Nonmaterial Change Justification.docx (document unavailable) Justification for No Material/Nonsubstantive Change
30 Day FRN 0920-1313.pdf (document unavailable) Supplementary Document
Att4c TOM Kits 0920-1313 NOA 20201203.pdf (document unavailable) Supplementary Document
Att4b TOM Kits GenIC 0923-0047 NOA 20190510.pdf (document unavailable) Supplementary Document
Att4a TOM Kits PHE PRA Waiver and Notice 20190320.pdf (document unavailable) Supplementary Document
Att3 CDC TOM Kits Factsheet.pdf (document unavailable) Supplementary Document
0 - Privacy Act Checklist.docx Supplementary Document
Att1 Legislative Authority.pdf (document unavailable) Supplementary Document
Att8 TOM Kits Privacy Impact Assessment Form.pdf (document unavailable) Supplementary Document
Att7 TOM Kits Research Determination Form.pdf (document unavailable) Supplementary Document
Att5 TOM Kits GenIC 0923-0047 NOA 20190510.pdf (document unavailable) Supplementary Document
Att4 TOM Kits PHE PRA Waiver and Notice 20190320.pdf (document unavailable) Supplementary Document
Att3 CDC TOM Kits Factsheet.pdf (document unavailable) Supplementary Document
Att2 TOM Kits 60-day FRN.pdf (document unavailable) Supplementary Document
Att1 Legislative Authority.pdf (document unavailable) Supplementary Document
International Laboratories Form and Instruction
International Laboratories Form and Instruction
Private or Not-for-Profit Institutions Form and Instruction
Private or Not-for-Profit Institutions Form and Instruction
State, Local, and Tribal Government Laboratories Form and Instruction
State, Local, and Tribal Government Laboratories Form and Instruction
Federal Laboratories Form and Instruction
Federal Laboratories Form and Instruction

All Historical Document Collections

202602-0920-001 Approved without change	Extension without change of a currently approved collection	2026-02-17
202401-0920-013 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-01-31
202304-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-04-19
202212-0920-010 Approved without change	Revision of a currently approved collection	2022-12-29
202005-0920-006 Approved without change	New collection (Request for a new OMB Control Number)	2020-06-02

OMB Details

Federal Laboratories

Federal Enterprise Architecture: Disaster Management - Emergency Response

Form 0920-1313

Test Kit Application and Questions for US Laboratories (online)

Fillable Fileable

Form and instruction

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