FORM APPROVED OMB
NO. 0920-0576 EXP
DATE xx/xx/xxxx
Amendment to Registration Application
Entities may amend their registration (42 CFR, 73.7(h)(1)) if any changes occur in the information submitted to CDC. To apply for an amendment to a certificate of registration, an entity must obtain the relevant portion of the application package and submit the information requested in the package to CDC.
Public Reporting Burden
Public reporting
burden of providing this information is estimated to average 1 hour
per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required
to respond to a collection of information unless it displays a
currently valid OMB control number. Send documents regarding this
burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to
CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74,
Atlanta, Georgia 30333; ATTN: PRM (0920-0576).
| File Type | application/msword |
| Author | shari steinberg |
| Last Modified By | shari steinberg |
| File Modified | 2008-07-08 |
| File Created | 2008-07-08 |