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Interstate Shellfish Dealer's Certificate
Interstate Shellfish Dealer's Certificate
OMB: 0910-0021
IC ID: 5675
OMB.report
HHS/FDA
OMB 0910-0021
ICR 201603-0910-002
IC 5675
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0021 can be found here:
2022-05-23 - Extension without change of a currently approved collection
2019-04-24 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FDA Form 3038
Interstate Shellfish Dealer's Certificate
Form and Instruction
FDA Form 3038 Interstate Shellfish Dealer's Certificate
Form FDA 3038 exp 2016.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Interstate Shellfish Dealer's Certificate
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Form and Instruction
FDA Form 3038
Interstate Shellfish Dealer's Certificate
Form FDA 3038 exp 2016.pdf
Yes
Yes
Fillable Fileable
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:
40
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
2,280
0
0
0
0
2,280
Annual IC Time Burden (Hours)
228
0
0
0
0
228
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.