Information Collection

eSubmitter participants

IC 243391 under ICR 202309-0910-003 · OMB 0910-0359.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0359 806 reports eSubmitter.pdf	Other-eSubmitter screenshots
0359 806 reports eSubmitter.pdf	Other-eSubmitter screenshots

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 21 CFR 806 21 CFR 4.102; 4.104; 4.105

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-eSubmitter screenshots			0359 806 reports eSubmitter.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 517

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	517	517
Annual IC Time Burden (Hours)	1,592	1,592
Annual IC Cost Burden (Dollars)	25,850	25,850

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.