Information Collection

FDA Worksheets: compile information, review instructions, create records

IC 183428 under ICR 202008-0910-001 · OMB 0910-0621.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0621 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0621 Food Regulatory Program Standards.pdf	Other-Program Standards

IC Title:

FDA Worksheets: compile information, review instructions, create records

Agency IC Tracking Number:

CFSAN

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

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-Program Standards					Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	47,145	47,145
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.

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