Information Collection

21 CFR 170.101 (Category C)

IC 187507 under ICR 201602-0910-004 · OMB 0910-0495.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0495 can be found here:

Documents and Forms

Document Name Document Type
Appendix3a -Instructions for Completing Form 3480.pdf Instruction
FDA 3480 Food Contact Substance Notification For New Use Pre-Noti 0495 - Form FDA 3480.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	21 CFR 170.101 (Category C)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 21 CFR 107.101

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Appendix3a -Instructions for Completing Form 3480.pdf		Yes	No	Printable Only
Form	FDA 3480	Food Contact Substance Notification For New Use Pre-Notification Consultation Food Master File	0495 - Form FDA 3480.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	12	2	10
Annual IC Time Burden (Hours)	1,440	240	1,200
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.