Information Collection

2017-2018 - Fast Food Restaurants - Completion of Sections 1 and 3

IC 204848 under ICR 201507-0910-012 · OMB 0910-0744.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0744 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ATTACHMENT C DATA COLLECTION FORM 7-30-2015.doc	Other-Survey
ATTACHMENT B DATA COLLECTION MARKING INSTRUCTIONS 7-30-2015.doc	Other-Instructions

IC Title:

2017-2018 - Fast Food Restaurants - Completion of Sections 1 and 3

Agency IC Tracking Number:

ORA

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 21 CFR 5.10(a)(2)and(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
Other-Survey			ATTACHMENT C DATA COLLECTION FORM 7-30-2015.doc		Yes	Yes	Fillable Fileable
Other-Instructions			ATTACHMENT B DATA COLLECTION MARKING INSTRUCTIONS 7-30-2015.doc		Yes	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	400	356	44
Annual IC Time Burden (Hours)	544	491	53
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.