Information Collection

Submissions, updates, written requests, correspondence, content and format, reports, distributor statements

IC 183179 under ICR 202007-0910-013 · OMB 0910-0620.

Documents and Forms

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Document Name	Document Type

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Information Collection (IC) Details

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IC Title:

Submissions, updates, written requests, correspondence, content and format, reports, distributor statements

Agency IC Tracking Number:

CVM

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 516.143 21 CFR 516.145 21 CFR 516.161 21 CFR 516.163 21 CFR 516.165 21 CFR 516.141 21 CFR 516.119 21 CFR 516.121 21 CFR 516.123 21 CFR 516.125 21 CFR 516.129

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

Federal Enterprise Architecture Business Reference Module

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: 5

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	213	0	213
Annual IC Time Burden (Hours)	5,273	401	4,872
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.