Information Collection

Third Party Disclosure - 21 CFR 501.22(k)(1)

IC 202340 under ICR 201205-0910-006 · OMB 0910-0721.

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Information Collection (IC) Details

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IC Title:	Third Party Disclosure - 21 CFR 501.22(k)(1)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 74

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: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,250	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,008	15,008
Annual IC Time Burden (Hours)	3,752	3,752
Annual IC Cost Burden (Dollars)	3,100,653	3,100,653

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.