Information Collection

Certain Types of Statements for Dietary Supplements

IC 5918 under ICR 201906-0910-002 · OMB 0910-0331.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0331 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 3955 Certain Types of Statements for Dietary Supplements	Form
FDA 3955 Notification Procedures for Statements on Dietary Supple 0331 Screenshots (SFC) FARMS.pdf www.fda.gov/food/information-industry-dietary-supplements/structurefunction-claim-notification-dietary-supplements	Form

IC Title:

Certain Types of Statements for Dietary Supplements

Agency IC Tracking Number:

CFSAN

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 101.93

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	FDA 3955	Notification Procedures for Statements on Dietary Supplements	0331 Screenshots (SFC) FARMS.pdf	https://www.fda.gov/food/information-industry-dietary-supplements/structurefunction-claim-notification-dietary-supplements	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,690

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,690	1,490	2,200
Annual IC Time Burden (Hours)	2,768	1,118	1,650
Annual IC Cost Burden (Dollars)	196,825	196,825	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.