APHIS/CDC Form 4A Quick Reference Guide: Completing Sections C & D

  1. Log into eFSAP. Click on Form 4. Locate the specified report under Form 4A-Section CD’s that has a status of ‘Required’. Click Viewimage icon.
  2. Complete Section Cimage icon. Answer questions 1-3. The remaining questions in Section C will be automatically populated from the Form 1.
  3. Fill out Section Dimage icon.
    1. Question 1 will be auto-populated according to the related Section A&B. Answer the remaining questions.
    2. For questions, 6-7 enter information, then click Add Row. Add as many rows as needed, if sent to multiple Reference Laboratories.
      NOTE: You must click add row in order to submit the form.
    3. For question 8image icon, you may select more than one option:
      1. Destroyed – Indicate method of destruction and date destroyed.
      2. Retained – Indicate PI from the dropdown menu of PIs approved to possess select agent and toxin. If the Sample Provider is a non-registered entity, this option is not available.
      3. Not applicable – “Not applicable, the entire specimen was transferred to the Reference Laboratory.” NOTE: If sample was sent to multiple laboratories, provide the name and date of transfer in the Comment section.
    4. For question 9image icon, if you answer ‘Yes’, complete an APHIS/CDC Form 3.
    5. If you answer ‘Yes’ to question 11, complete questions 13-20. Click Add Row. Add as many rows   as needed, if multiple Sample Providers. NOTE: You must click add row in order to submit the form.
    6. If ‘Yes’ to question 12, select the appropriate country from the dropdown list.
  4. Type your nameimage icon in the ‘Signature of Responsible Official/Laboratory Supervisor’ field. The date will auto-populate.
  5. Click Submit. Clicking Save Draft does NOT submit the Form 4 Sections C&D.
  6. Clicking the Close Button will only close the report and not submit or save changes to the form.
Page last reviewed: December 4, 2020