Information Collection

Cosmetic Product Voluntary Reporting Program - 21 CFR Part 720

IC 5685 under ICR 200812-0910-005 · OMB 0910-0030.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA2512 Cosmetic Product Voluntary Reporting Program - 21 CFR Part 720	Form and Instruction
FDA2512 Cosmetic Product Ingredient Statement 0030 FDA2512 12-10-08.pdf	Form and Instruction
FDA2512a Cosmetic Product Ingredient Statement 0030 FDA2512a 12-10-08.pdf	Form and Instruction
FDA2514 Notice of Discontinuance of Commercial Distribution of C 0030 FDA2514 12-10-08.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 21 CFR 720.1-720.4

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FDA2512	Cosmetic Product Ingredient Statement	0030 FDA2512 12-10-08.pdf	Yes	Yes	Paper Only
Form and Instruction	FDA2512a	Cosmetic Product Ingredient Statement	0030 FDA2512a 12-10-08.pdf	Yes	Yes	Paper Only
Form and Instruction	FDA2514	Notice of Discontinuance of Commercial Distribution of Cosmetic Product Formulation	0030 FDA2514 12-10-08.pdf	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 141

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	Previously Approved
Annual Number of Responses for this IC	4,371	2,868	1,503
Annual IC Time Burden (Hours)	1,442	700	742
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.