Information Collection

Supplements

IC 237315 under ICR 202005-0910-009 · OMB 0910-0877.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0877 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
GHW_Proposed Rule_84 FR 42754_08-16-2019.pdf	Other-Proposed Rule FRN

IC Title:

Supplements

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

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
Other-Proposed Rule FRN			GHW_Proposed Rule_84 FR 42754_08-16-2019.pdf		Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	2,250	2,250
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.