Information Collection

Recordkeeping; SE Report

IC 245290 under ICR 202402-0910-004 · OMB 0910-0673.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Recordkeeping; SE Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 1107.58 21 CFR 1107.18

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

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 471

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 83 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	471	471
Annual IC Time Burden (Hours)	2,355	2,355
Annual IC Cost Burden (Dollars)	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.

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