Information Collection

Interstate Shellfish Dealer's Certificate

IC 5675 under ICR 202408-0910-010 · OMB 0910-0021.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3038 Interstate Shellfish Dealer's Certificate	Form
Form 3038 Interstate Shellfish Dealer’s Certificate Interstate Shellfish Dealer's Certificate	Form
Form 3038 - p 2 Interstate Shellfish Dealer’s Certificate Interstate Shellfish Dealer's Certificate	Form
3038 Interstate Shellfish Dealer’s Certificate FDA 3038 Sceenshot.pdf	Form
3038 Interstate Shellfish Dealer’s Certificate FDA 3038 Sceenshot.pdf	Form
3038 - p 2 Interstate Shellfish Dealer’s Certificate FDA 3038 p 2.pdf	Form
3038 - p 2 Interstate Shellfish Dealer’s Certificate FDA 3038 p 2.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form	3038				Yes	Yes	Fillable Fileable
Form	3038 - p 2				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,280	2,280
Annual IC Time Burden (Hours)	228	228
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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