Information Collection

Notice Of Participation (21 Cfr 12.45)

IC 109818 under ICR 199006-0910-003 · OMB 0910-0191.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0191 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	NOTICE OF PARTICIPATION (21 CFR 12.45)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	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	Previously Approved
Annual Number of Responses for this IC	50	15	35
Annual IC Time Burden (Hours)	150	45	105
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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