Information Collection

Updated Registration of Voluntary and Non-regulated Submissions

IC 239357 under ICR 202512-0925-004 · OMB 0925-0586.

Documents and Forms

Document Name Document Type
Form 1 Registration Data Entry Forms Updated Registration of Voluntary and Non-regulated Submissions Form and Instruction
Form 1 Registration Data Entry Forms Updated Registration of Voluntary and Non-regulated Submissions Form and Instruction
1 Registration Data Entry Forms Attachment 2 - Registration PRS Data Entry Forms 2_11_2026.pdf Form and Instruction
1 Registration Data Entry Forms Attachment 2 - Registration PRS Data Entry Forms 2_11_2026.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Updated Registration of Voluntary and Non-regulated Submissions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Registration Data Entry Forms	Attachment 2 - Registration PRS Data Entry Forms 2_11_2026.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 23,130	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	185,040	42,160	142,880
Annual IC Time Burden (Hours)	370,080	84,320	285,760
Annual IC Cost Burden (Dollars)	0	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.

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