Information Collection

Notifications under 106.120(b)

IC 179350 under ICR 202412-0910-007 · OMB 0910-0256.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form FDA 3978 Notifications under 106.120(b)	Form and Instruction
Form Form FDA 3978 Infant Formula Tracking System Notifications under 106.120(b)	Form and Instruction
draft-guidance-infantformuladiscontinuancinterruption.pdf www.fda.gov/media/183873/download	Other-Agency guidance
Form FDA 3978 Infant Formula Tracking System 0256 IFTRACK II Wireframes v4.pdf	Form and Instruction
Form FDA 3978 Infant Formula Tracking System 0256 IFTRACK II Wireframes v4.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 106.120(b)

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 and Instruction	Form FDA 3978				Yes	Yes	Fillable Fileable
Other-Agency guidance				https://www.fda.gov/media/183873/download	Yes	Yes	Fillable Fileable

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: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	4	4
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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