Information Collection

ONE TIME Reporting Burden

IC 223140 under ICR 201608-0910-012 · OMB 0910-0342.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0342 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 3667 ONE TIME Reporting Burden	Form
FDA 3667 Generally Recognized as Safe (GRAS) Notice Form FDA 3667.pdf	Form

IC Title:

ONE TIME Reporting Burden

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 21 CFR 170.210-170.270 21 CFR 570.120-570.270 21 CFR 170.285

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FDA 3667	Generally Recognized as Safe (GRAS) Notice	Form FDA 3667.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: 525

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	525	525
Annual IC Time Burden (Hours)	46,725	46,725
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.