Information Collection

Verify Compliance of Imports and Prepare Records of Verification Activities

IC 179128 under ICR 201701-0910-013 · OMB 0910-0354.

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Information Collection (IC) Details

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IC Title:	Verify Compliance of Imports and Prepare Records of Verification Activities	Agency IC Tracking Number:	CFSAN

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 123.12(a)(2)(iii)

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: 4,100	Number of Respondents for Small Entity: 3,075

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	328,000	328,000
Annual IC Time Burden (Hours)	65,600	65,600
Annual IC Cost Burden (Dollars)	0	0

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