Information Collection

Written Request for Review--810.12(a-b)

IC 202305 under ICR 202409-0910-006 · OMB 0910-0432.

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Information Collection (IC) Details

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IC Title:

Written Request for Review--810.12(a-b)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 810.15(d) 21 CFR 810.15 (e) 21 CFR 810.15 (a-c) 21 CFR 810.10(d) 21 CFR 810.11(a) 21 CFR 810.12 (a-b) 21 CFR 810.14 21 CFR 810.16 (a-b) 21 CFR 810.17 ( a) 21 CFR 810.15 (b)

Information Collection Instruments:

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Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

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