Reporting: Registration for Other SRFE ( initial)

Section 4205 of the Patient Protection and Affordable Care Act ( P.L. 111-148: Restaurant Menu Labeling : Registration For Small Chains

Documents and Forms

Document Name Document Type
Form 3757 Reporting: Registration for Other SRFE ( initial) Form and Instruction
3757 DHHS / FDA MENU AND VENDING MACHINE LABELING VOLUNTARY R Form FDA 3757.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Reporting: Registration for Other SRFE ( initial)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	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: 81	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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	81	41	40
Annual IC Time Burden (Hours)	162	81	81
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.