Information Collection

203.30(a)(2) and 203.31(a)(2) - Recordkeeping; Verification of Licensing

IC 190500 under ICR 201110-0910-002 · OMB 0910-0435.

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Information Collection (IC) Details

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IC Title:	203.30(a)(2) and 203.31(a)(2) - Recordkeeping; Verification of Licensing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 203.30(a)(2) and 203.31(a)(2)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,208	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	220,800	220,800
Annual IC Time Burden (Hours)	110,400	110,400
Annual IC Cost Burden (Dollars)	0	0

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