Information Collection

Reference Amount Petitions -- 21 CFR 100.12(h)

IC 5853 under ICR 199610-0910-002 · OMB 0910-0286.

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Information Collection (IC) Details

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IC Title:	Reference Amount Petitions -- 21 CFR 100.12(h)	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: 5	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	400,000,000	400,000,000

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