Information Collection

Third-Party Disclosure for Component Part Rule 3041-AC86

IC 205627 under ICR 201602-3041-001 · OMB 3041-0159.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0159 can be found here:

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Information Collection (IC) Details

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IC Title:	Third-Party Disclosure for Component Part Rule 3041-AC86	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 16 CFR 1109

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24,400	Number of Respondents for Small Entity: 24,000

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

Percentage of Respondents Reporting Electronically: 85 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	160,000	750	159,250
Annual IC Time Burden (Hours)	54,000	0	54,000
Annual IC Cost Burden (Dollars)	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.