Information Collection

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

IC 206692 under ICR 201304-0910-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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		Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

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 %

	Approved	Change Due to Adjustment in Agency Estimate
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

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.