Information Collection

Annual Recordkeeping

IC 45142 under ICR 202603-1910-003 · OMB 1910-5112.

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Information Collection (IC) Details

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IC Title:	Annual Recordkeeping	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 850

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: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 55 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	27	1	26
Annual IC Time Burden (Hours)	18,495	685	17,810
Annual IC Cost Burden (Dollars)	887,760	157,550	730,210

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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