Information Collection

Dietary supplements, food for special dietary use, infant formula, & medical foods

IC 216232 under ICR 201804-0910-017 · OMB 0910-0793.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0793 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form FDA 3613e Dietary supplements, food for special dietary use, infant formula, & medical foods	Form
Form FDA 3613e Food Export Certificate Application Form FDA 3613e.pdf www.fda.gov/downloads/aboutfda/reportsmanualsforms/forms/ucm052399.pdf	Form

IC Title:

Dietary supplements, food for special dietary use, infant formula, & medical foods

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	Form FDA 3613e	Food Export Certificate Application	Form FDA 3613e.pdf	http://www.fda.gov/downloads/aboutfda/reportsmanualsforms/forms/ucm052399.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: 2,129

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-2,129	2,129
Annual IC Time Burden (Hours)	-3,194	3,194
Annual IC Cost Burden (Dollars)	-21,290	21,290

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.