Information Collection

Radiation Incidents Registry Reporting Program Electronic Product Radiation

IC 109561 under ICR 198002-0910-002 · OMB 0910-0071.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0071 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

RADIATION INCIDENTS REGISTRY REPORTING PROGRAM ELECTRONIC PRODUCT RADIATION

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FDA 3166				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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