Electronic Federal Select Agent Program (eFSAP) Information System Survey

[OS] CDC/ATSDR Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
Form 0920-1050 Electronic Federal Select Agent Program (eFSAP) Information System Survey Form and Instruction
0920-1050 Electronic Federal Select Agent Program (eFSAP) Informat Att1-eFSAP IS Survey.docx Form and Instruction
ORR-0920-1050 GenIC Request.docx 0920-1050 GenIC Request Template IC Document

Information Collection (IC) Details

IC Title:	Electronic Federal Select Agent Program (eFSAP) Information System Survey	Agency IC Tracking Number:	0920-25-0101

IC Status: New

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	0920-1050	Electronic Federal Select Agent Program (eFSAP) Information System Survey	Att1-eFSAP IS Survey.docx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	188	188
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0920-1050 GenIC Request Template	ORR-0920-1050 GenIC Request.docx	08/14/2025

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