Information Collection

Requirement for All Applicants to Include Separate Information for Each Month in Their Records

IC 205680 under ICR 201302-0910-001 · OMB 0910-0659.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0659 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 3744 Requirement for All Applicants to Include Separate Information for Each Month in Their Records	Form and Instruction
FDA 3744 Antimicrobial Animal Drug Distribution Report 0659 form FDA 3744 12-12-12.pdf	Form and Instruction

IC Title:

Requirement for All Applicants to Include Separate Information for Each Month in Their Records

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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	FDA 3744	Antimicrobial Animal Drug Distribution Report	0659 form FDA 3744 12-12-12.pdf		No	No	Printable Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 26

Number of Respondents for Small Entity: 2

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	26	26
Annual IC Time Burden (Hours)	52	52
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.