DNA Collection Consent Form (Laboratory Test) and Test

COLLECTION INSTRUMENT(S): AABB accredited laboratory testing; Rapid DNA prototype Accelerated Nuclear DNA Equipment (ANDE) by NetBio; Rapid DNA prototype RapidHIT200 by IntegenX

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0132 can be found here:

Documents and Forms

Document Name Document Type
Form G-1294 DNA Collection Consent Form (Laboratory Test) and Test Form and Instruction
G-1294 DNA Collection Consent Form (Laboratory Test) G1294-FRM-WIP-09112015.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	DNA Collection Consent Form (Laboratory Test) and Test	Agency IC Tracking Number:	G-1294

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 207

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G-1294	DNA Collection Consent Form (Laboratory Test)	G1294-FRM-WIP-09112015.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Alien File, Index, and National File Tracking System of Records	FR Citation: 78 FR 69864

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	54	54
Annual IC Cost Burden (Dollars)	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.