Information Collection

Interstate Shellfish Dealer's Certificate

IC 5675 under ICR 200610-0910-007 · OMB 0910-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0021 can be found here:

Documents and Forms

Document Name Document Type
Form FDA 3038 Interstate Shellfish Dealer's Certificate Form and Instruction
FDA 3038 Interstate Shellfish Dealers Certification FDA-3038.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Interstate Shellfish Dealer's Certificate	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	FDA 3038	Interstate Shellfish Dealers Certification	FDA-3038.pdf		No	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 39	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,418	2,356	62
Annual IC Time Burden (Hours)	242	31	211
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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