Information Collection

Reporting - 21 CFR 170.101 ( Category (B)

IC 187506 under ICR 201205-0910-009 · OMB 0910-0495.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0495 can be found here:

Documents and Forms

Document Name Document Type
Form FDA3480 Reporting - 21 CFR 170.101 ( Category (B) Form and Instruction
FDA3480 NOTIFICATION FOR NEW USE OF A FOOD FDA3480_V5.6_03[1].pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reporting - 21 CFR 170.101 ( Category (B)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 21 CFR 107.101

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FDA3480	NOTIFICATION FOR NEW USE OF A FOOD	FDA3480_V5.6_03[1].pdf		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	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.