Information Collection

Fast-Food and Full-Service Restaurants--Form FDA 3966

IC 207990 under ICR 202401-0910-002 · OMB 0910-0744.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 3966 Restaurant Data Collection Record Fast-Food and Full-Service Restaurants--Form FDA 3966	Form
ICR Attachment B_RFS Marking Instructions 2-22-24.pdf	Other-Instructions
FDA 3966 Restaurant Data Collection Record 0744_FDA 3966.pdf	Form

IC Title:

Agency IC Tracking Number:

ORA

Is this a Common Form? No

IC Status: Modified

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-Instructions			ICR Attachment B_RFS Marking Instructions 2-22-24.pdf		Yes	No	Printable Only
Form	FDA 3966	Restaurant Data Collection Record	0744_FDA 3966.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	400	-400	800
Annual IC Time Burden (Hours)	800	400	400
Annual IC Cost Burden (Dollars)	0	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.