OMB
.report
Search
Secure Supply Chain Application Form
Secure Supply Chain Pilot Program (SSCPP)
OMB: 0910-0729
IC ID: 202930
OMB.report
HHS/FDA
OMB 0910-0729
ICR 201206-0910-014
IC 202930
( )
Documents and Forms
Document Name
Document Type
SSC - Pilot Application.pdf
Other-Secure Supply Chain (SSC) Pilo
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Secure Supply Chain Application Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Secure Supply Chain (SSC) Pilot Application
SSC - Pilot Application.pdf
No
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
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
500
0
500
0
0
0
Annual IC Time Burden (Hours)
1,750
0
1,750
0
0
0
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.