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Dietary supplement adverse events records
Adverse Event Reporting and Recordkeeping for Dietary Supplements as Required by the Dietary Supplement and Nonprescription Drug Consumer Protection Act
OMB: 0910-0635
IC ID: 186733
OMB.report
HHS/FDA
OMB 0910-0635
ICR 201602-0910-006
IC 186733
( )
Documents and Forms
Document Name
Document Type
21 USC 379aa.doc
Other-Statute
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Dietary supplement adverse events records
Agency IC Tracking Number:
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-Statute
21 USC 379aa.doc
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,700
Number of Respondents for Small Entity:
1,280
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
75 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
125,800
0
0
7,400
0
118,400
Annual IC Time Burden (Hours)
62,900
0
0
3,700
0
59,200
Annual IC Cost Burden (Dollars)
0
0
0
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.