Information Collection

Annual follow-up reviews

IC 196422 under ICR 201102-0935-004 · OMB 0935-0147.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0147 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form #3 Annual follow-up reviews	Form and Instruction
Form #3 Annual Follow-up Emails Attachment D -- Annual Follow-up Guide.doc	Form and Instruction

IC Title:

Annual follow-up reviews

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form #3	Annual Follow-up Emails	Attachment D -- Annual Follow-up Guide.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 725

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: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	725	725
Annual IC Time Burden (Hours)	363	363
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.