Information Collection

Voluntary View

IC 192360 under ICR 201003-0910-004 · OMB 0910-0645.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0645 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Confidential 1005_Mandatory-Initial-Part_4-Adulteration_Origination_Site-040109 (2).pdf	Other-system screenshot
Confidential 1005 Mandatory-Initial-Subview Questions Explanatory Notes-040109.doc	Other-system screenshot
Confidential 1005_Mandatory-Initial-Part_3-Problem_Summary-040109.pdf	Other-system screenshot

IC Title:

Voluntary View

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-system screenshot	Confidential 1005_Mandatory-Initial-Part_4-Adulteration_Origination_Site-040109 (2).pdf	Yes	Yes	Paper Only
Other-system screenshot	Confidential 1005 Mandatory-Initial-Subview Questions Explanatory Notes-040109.doc	Yes	Yes	Paper Only
Other-system screenshot	Confidential 1005_Mandatory-Initial-Part_3-Problem_Summary-040109.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: 37,565

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	37,565	37,565
Annual IC Time Burden (Hours)	22,539	22,539
Annual IC Cost Burden (Dollars)	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.