Information Collection

Reporting (21 CFR- 720.1-720.4) Voluntary Registration (New submissions)

IC 196425 under ICR 201707-0910-006 · OMB 0910-0027.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 2512 Reporting (21 CFR- 720.1-720.4) Voluntary Registration (New submissions)	Form and Instruction
FDA 2512 Cosmetic Product Ingredient Statement FDA 2512.pdf	Form and Instruction
FDA 2512a Cosmetic Product Ingredient Statement FDA 2512a.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

CFSAN

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 21 CFR 720.1-720.4

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 2512	Cosmetic Product Ingredient Statement	FDA 2512.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	FDA 2512a	Cosmetic Product Ingredient Statement	FDA 2512a.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: 7,108

Number of Respondents for Small Entity: 711

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,108	2,231	4,877
Annual IC Time Burden (Hours)	2,346	737	1,609
Annual IC Cost Burden (Dollars)	0	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.