Information Collection

Preparing the required information (applies to unique lines only)

IC 210811 under ICR 201706-0910-007 · OMB 0910-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0046 can be found here:

Documents and Forms

Document Name Document Type
list of examples for ACE entries 12-15-2016.doc Other-list of examples

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Preparing the required information (applies to unique lines only)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 301 21 CFR 1.72 21 CFR 321 21 CFR 1.73 21 CFR 1.74 21 CFR 1.75 21 CFR 1.76 21 CFR 1.77 21 CFR 1.78 21 CFR 1.79 21 CFR 1.80

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-list of examples			list of examples for ACE entries 12-15-2016.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 41,703	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	521,288	458,262	63,026
Annual IC Time Burden (Hours)	20,285	11,462	8,823
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.