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Reporting: Registration for Other SRFE ( initial)
Section 4205 of the Patient Protection and Affordable Care Act ( P.L. 111-148: Restaurant Menu Labeling : Registration For Small Chains
OMB: 0910-0664
IC ID: 193808
OMB.report
HHS/FDA
OMB 0910-0664
ICR 201101-0910-007
IC 193808
( )
Documents and Forms
Document Name
Document Type
Form 3757
Reporting: Registration for Other SRFE ( initial)
Form and Instruction
3757 DHHS / FDA MENU AND VENDING MACHINE LABELING VOLUNTARY R
Form FDA 3757.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Reporting: Registration for Other SRFE ( initial)
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
3757
DHHS / FDA MENU AND VENDING MACHINE LABELING VOLUNTARY REGISTRATION
Form FDA 3757.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
81
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
81
0
41
0
0
40
Annual IC Time Burden (Hours)
162
0
81
0
0
81
Annual IC Cost Burden (Dollars)
0
0
0
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.