Information Collection

Reporting : Registration for C-store ( initial)

IC 193807 under ICR 201101-0910-007 · OMB 0910-0664.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3757 Reporting : Registration for C-store ( initial)	Form and Instruction
3757 DHHS / FDA MENU AND VENDING MACHINE LABELING VOLUNTARY R Form FDA 3757.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:

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
Form and Instruction	3757	DHHS / FDA MENU AND VENDING MACHINE LABELING VOLUNTARY REGISTRATION	Form FDA 3757.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11	5	6
Annual IC Time Burden (Hours)	22	10	12
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.