Information Collection

Product Quantity Change SE Report

IC 215515 under ICR 201601-0910-019 · OMB 0910-0673.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0673 can be found here:

Documents and Forms

Document Name Document Type
SE FAQ guidance.pdf Other-Guidance

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Product Quantity Change SE Report	Agency IC Tracking Number:	CTP

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Guidance			SE FAQ guidance.pdf		Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 264	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	264	139	125
Annual IC Time Burden (Hours)	22,968	12,093	10,875
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.