Information Collection

Reporting (ongoing)

IC 203299 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Reporting (ongoing)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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

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

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,199

Number of Respondents for Small Entity: 600

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	316,149	316,149
Annual IC Time Burden (Hours)	7,289	7,289
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.