Information Collection

Certification for citizen petitions 505(q)(H)

IC 196101 under ICR 201403-0910-006 · OMB 0910-0679.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0679 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FINAL GUIDANCE 0679 3-18-14.pdf	Other-Guidance

IC Title:

Certification for citizen petitions 505(q)(H)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 21 CFR 505

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
Other-Guidance			FINAL GUIDANCE 0679 3-18-14.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: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	30	5	25
Annual IC Time Burden (Hours)	15	2	13
Annual IC Cost Burden (Dollars)	0	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.