Information Collection

Reporting (first year)

IC 203295 under ICR 201612-0910-002 · OMB 0910-0720.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0720 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Reporting (first year)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 803 21 CFR 806 21 CFR 821 21 CFR 814 21 CFR 820 21 CFR 830.320 21 CFR 830.310 21 CFR 822 21 CFR 801.35 21 CFR 830.110 21 CFR 830.120

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: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 124	Number of Respondents for Small Entity: 12

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

Percentage of Respondents Reporting Electronically: 99 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-12,646	12,646
Annual IC Time Burden (Hours)	-887	887
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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