Information Collection

Determine and document type of verification activities

IC 208144 under ICR 201308-0910-001 · OMB 0910-0752.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0752 can be found here:

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Information Collection (IC) Details

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IC Title:	Determine and document type of verification activities	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1.506(g)(1)

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: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 23,742	Number of Respondents for Small Entity: 8,000

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	189,936	189,936
Annual IC Time Burden (Hours)	142,452	142,452
Annual IC Cost Burden (Dollars)	0	0

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