Information Collection

Quality Facility Attestation; Forms FDA 3942a and 3942b

IC 248149 under ICR 202410-0910-013 · OMB 0910-0751.

Documents and Forms

Document Name Document Type
QualifiedFacilityGuidance2018.pdf www.fda.gov/regulatory-information/search-fda-guidance-documents/guidance-industry-determination-status-qualified-facili Other-Agency Guidance

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Quality Facility Attestation; Forms FDA 3942a and 3942b	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 21 CFR 117.201; 507.7

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Agency Guidance			QualifiedFacilityGuidance2018.pdf	https://www.fda.gov/regulatory-information/search-fda-guidance-documents/guidance-industry-determination-status-qualified-facility	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 38,254	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	19,127	19,127
Annual IC Time Burden (Hours)	9,564	9,564
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.