Information Collection

Safety Alert and Outbreak Advisory Templates Testing

IC 240858 under ICR 201911-0910-015 · OMB 0910-0497.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix I - Message Templates.docx	Other-Message Templates
Appendix II - Participant Screener.docx	Other-Participant Screener
Appendix III - Moderator Guide.docx	Other-Moderator Guide
0497 OMB Approval Memo Safety Alert and Outbreak Advisory Template Testing 2020.docx OMB approval memo	IC Document

IC Title:

Safety Alert and Outbreak Advisory Templates Testing

Agency IC Tracking Number:

CFSAN

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Participant Screener	Appendix II - Participant Screener.docx	Yes	No	Paper Only
Other-Moderator Guide	Appendix III - Moderator Guide.docx	Yes	No	Printable Only
Other-Message Templates	Appendix I - Message Templates.docx	Yes	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB approval memo	0497 OMB Approval Memo Safety Alert and Outbreak Advisory Template Testing 2020.docx	03/25/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.