Information Collection

Reporting: Alternative Test Method (FDA 3979) and Waiver from Electronic Submission

IC 225135 under ICR 201701-0910-008 · OMB 0910-0830.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 3979 Reporting: Alternative Test Method (FDA 3979) and Waiver from Electronic Submission	Form and Instruction
FDA 3979 Alternative Test Method Notification FDA-3979 Final.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

CTP

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1132

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 and Instruction	FDA 3979	Alternative Test Method Notification	FDA-3979 Final.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: 23

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	23	23
Annual IC Time Burden (Hours)	462	462
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.