Third Party Disclosure: New SRFE Outlets- Calorie Content

Section 4205 of the Patient Protection and Affordable Care Act Restaurant Menu Labeling; Recordkeeping and Mandatory Third Party Disclosure

Documents and Forms

Document Name Document Type
Guidance for Industry- 0910-0665.doc Other-Guidance

Information Collection (IC) Details

IC Title:	Third Party Disclosure: New SRFE Outlets- Calorie Content	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Guidance			Guidance for Industry- 0910-0665.doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,200	360	-595,285	596,125
Annual IC Time Burden (Hours)	2,400	0	-3,561	5,961
Annual IC Cost Burden (Dollars)	660,000	90,000	-10,830,000	11,400,000

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.