Information Collection

Reporting: Small Business Nutrition Labeling Exemption Using Form FDA 3570

IC 6027 under ICR 201312-0910-014 · OMB 0910-0381.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0381 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3570 Reporting: Small Business Nutrition Labeling Exemption Using Form FDA 3570	Form and Instruction
3570 Small Business Nutrition Labeling Exemption Notice Modul Small Business Nutrition Labeling Exemption Small Business Nutrition Labeling Exemption Notice Model Form.mht	Form and Instruction

IC Title:

Reporting: Small Business Nutrition Labeling Exemption Using Form FDA 3570

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 101.36(h)(2) 12 CFR 101.9(j)(18)

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	3570	Small Business Nutrition Labeling Exemption Notice Module Form	Small Business Nutrition Labeling Exemption Small Business Nutrition Labeling Exemption Notice Model Form.mht		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

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
	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	80,000	80,000
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.