Information Collection

Mammography Facilities, Standards, and Lay Summaries For Patients

IC 5880 under ICR 200010-0910-004 · OMB 0910-0309.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0309 can be found here:

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Information Collection (IC) Details

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IC Title:	Mammography Facilities, Standards, and Lay Summaries For Patients	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FDA-3422				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	39,996,722	39,983,901	12,821
Annual IC Time Burden (Hours)	3,516,183	3,331,673	184,510
Annual IC Cost Burden (Dollars)	21,000	0	21,000

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