Information Collection

21 CFR 170.101 (Category B)

IC 187506 under ICR 201902-0910-013 · OMB 0910-0495.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0495 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix3a -Instructions for Completing Form 3480.pdf	Instruction
FDA 3480 FOOD CONTACT SUBSTANCE NOTIFICATION FOR NEW USE PRE-NOTI 0495 - Form FDA 3480.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 21 CFR 107.101

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
Instruction			Appendix3a -Instructions for Completing Form 3480.pdf		Yes	No	Printable Only
Form	FDA 3480	FOOD CONTACT SUBSTANCE NOTIFICATION FOR NEW USE PRE-NOTIFICATION CONSULTATION FOOD MASTER FILE	0495 - Form FDA 3480.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: 6

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
	Approved	Previously Approved
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	150	150
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.