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Laboratory Application
Mandatory Guidelines for Federal Workplace Drug Testing Programs
OMB: 0930-0158
IC ID: 193836
OMB.report
HHS/SAMHSA
OMB 0930-0158
ICR 202601-0930-002
IC 193836
( )
Documents and Forms
Document Name
Document Type
Form 2026 CCF Urine Lab
Laboratory Application
Form and Instruction
2026 CCF Urine Lab 2026 CCF Urine Lab Application
Att J Urine_Lab_Application_April2025.pdf
Form and Instruction
2026 CCF Urine Lab 2026 CCF Urine Lab Checklist
Att K Urine_LAB_Info_Checklist_April2025.pdf
Form and Instruction
Att N IITF_Application_April2025.pdf
2026 Instrumented Initial Test Facility (IITF) Application Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Laboratory Application
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
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
2026 CCF Urine Lab Application
2026 CCF Urine Lab Application
Att J Urine_Lab_Application_April2025.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
2026 CCF Urine Lab Checklist
2026 CCF Urine Lab Checklist
Att K Urine_LAB_Info_Checklist_April2025.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
20
0
10
0
0
10
Annual IC Time Burden (Hours)
60
0
30
0
0
30
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2026 Instrumented Initial Test Facility (IITF) Application Form
Att N IITF_Application_April2025.pdf
01/13/2026
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.