Information Collection

Testing, Diversion, amd Treatment (Negative)

IC 190255 under ICR 200908-0910-004 · OMB 0910-0660.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0660 can be found here:

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IC Title:

Testing, Diversion, amd Treatment (Negative)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 118.10(a)(3)(v)-(viii)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,965

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,965	5,965
Annual IC Time Burden (Hours)	2,983	2,983
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.