Information Collection

314.94(a)(7)

IC 186746 under ICR 201412-0910-001 · OMB 0910-0630.

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IC Title:

314.94(A)(7)

Agency IC Tracking Number:

CDER

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 314.94(a)(7)

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

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 84

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	84	0	12	72
Annual IC Time Burden (Hours)	6,048	0	2,376	3,672
Annual IC Cost Burden (Dollars)	0	-243,648	0	243,648

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