Information Collection

Subpart H Recordkeeping and Document Controls (One-Time)

IC 257015 under ICR 202211-0910-006 · OMB 0910-0913.

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Information Collection (IC) Details

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IC Title:	Subpart H Recordkeeping and Document Controls (One-Time)	Agency IC Tracking Number:	CTP

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1120.124

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,155	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,155	3,155
Annual IC Time Burden (Hours)	22,053	22,053
Annual IC Cost Burden (Dollars)	0	0

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