Information Collection

Shortages Data Collection System

IC 6195 under ICR 202104-0910-015 · OMB 0910-0491.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0491 can be found here:

Documents and Forms

Document Name Document Type
Emer. Shortages Data Collection Script.doc Other-Telephone Survey Script
Emer. Shortages Data Collection Script.doc Other-Telephone Survey Script

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Shortages Data Collection System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Telephone Survey Script			Emer. Shortages Data Collection Script.doc		Yes	Yes	Printable Only

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: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,000	1,220	780
Annual IC Time Burden (Hours)	1,000	610	390
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.