Information Collection

PetNet Reporting Portal; FDA Form 3756

IC 195930 under ICR 201403-0910-001 · OMB 0910-0680.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0680 can be found here:

Documents and Forms

Document Name Document Type
0680 PetNet Revisions Screenshots 2014.doc Other-Form and Portal Screen Shots

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	PetNet Reporting Portal; FDA Form 3756	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Form and Portal Screen Shots			0680 PetNet Revisions Screenshots 2014.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	200	-300	500
Annual IC Time Burden (Hours)	50	-117	167
Annual IC Cost Burden (Dollars)	0	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.