Information Collection

88.4(a) (Review and sign assurance and certification)

IC 229875 under ICR 202603-0945-001 · OMB 0945-0008.

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Information Collection (IC) Details

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IC Title:	88.4(a) (Review and sign assurance and certification)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation: 45 CFR 88.2

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 123,302	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-123,302	123,302
Annual IC Time Burden (Hours)	-493,208	493,208
Annual IC Cost Burden (Dollars)	0	0

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