FORM APPROVED OMB
NO. 0920-0576 EXP
DATE xx/xx/xxxx
Request for Exclusion/Restriction
An entity may apply to the HHS Secretary for an exclusion/restriction of an attenuated strain of a select agent or toxin that does not pose a severe threat to public health and safety(42 CFR 73.10(e)). CDC has not developed standardized forms to use in the above situation. Rather, the entity should provide the information as requested in the appropriate section of the regulation.
Public Reporting Burden
Public reporting
burden of providing this information is estimated to average 30
minutes 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 | CDC User |
| File Modified | 2012-06-15 |
| File Created | 2012-06-15 |