Information Collection Request

Furnishing of Samples

ICR 201602-1140-002 · OMB 1140-0073 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
27 CFR 555.110.pdf Supplementary Document Uploaded 2012-12-14 Available
1140-0073 justification.doc Supporting Statement A Uploaded 2016-02-17 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
12851 Furnishing of Samples Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2019 36 Months From Approved 03/31/2016
2,350 0 100
1,175 0 50
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Furnishing of Samples

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,350 100 0 2,250 0 0
Annual Time Burden (Hours) 1,175 50 0 1,125 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No