Information Collection

Reporting (21 CFR- 720.1-720.4) Voluntary Registration (New submissions)

IC 196425 under ICR 201404-0910-019 · OMB 0910-0027.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0027 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2512 a Reporting (21 CFR- 720.1-720.4) Voluntary Registration (New submissions)	Form and Instruction
2512 a Cosmetic Product Ingredient Form FDA 2512a.pdf	Form and Instruction
2512 Cosmetic Product Ingredient Statement Form FDA 2512.pdf	Form and Instruction

IC Title:

Reporting (21 CFR- 720.1-720.4) Voluntary Registration (New submissions)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 21 CFR 720.1-720.4

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	2512 a	Cosmetic Product Ingredient	Form FDA 2512a.pdf		Yes	Yes	Fillable Printable
Form and Instruction	2512	Cosmetic Product Ingredient Statement	Form FDA 2512.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,877

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
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,877	506	4,371
Annual IC Time Burden (Hours)	1,609	167	1,442
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.