Information Collection

Reports of Harm - paper

IC 193107 under ICR 202302-3041-001 · OMB 3041-0146.

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Information Collection (IC) Details

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IC Title:	Reports of Harm - paper	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 16 CFR 1102.10(b)(4)

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: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 296	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,098	-14,216	15,314
Annual IC Time Burden (Hours)	366	-4,739	5,105
Annual IC Cost Burden (Dollars)	0	0	0

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