Participant Biosafety Compliance Letter of Agreement

[NCHHSTP] CDC Model Performance Evaluation Program (MPEP) for Mycobacterium tuberculosis Drug Susceptibility Testing

Documents and Forms

Document Name Document Type
Participant Biosafety Compliance Letter of Agreement Form and Instruction
Participant Biosafety Compliance Agreement Att. 5-Participant Biosafety Compliance Agreement.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Participant Biosafety Compliance Letter of Agreement	Agency IC Tracking Number:	0920-0600

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Participant Biosafety Compliance Agreement	Att. 5-Participant Biosafety Compliance Agreement.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	70	-10	80
Annual IC Time Burden (Hours)	6	-1	7
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.