Information Collection

Reporting: 21 CFR 107.101 ( Category E )

IC 187509 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form FDA3480 Reporting: 21 CFR 107.101 ( Category E )	Form and Instruction
FDA3480 NOTIFICATION FOR NEW USE OF A FOOD FDA3480_V5.6_03[1].pdf	Form and Instruction

IC Title:

Reporting: 21 CFR 107.101 ( Category E )

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:

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	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: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	4,500	4,500
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.