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Submission of NSSP Compliance Documentation
Interstate Shellfish Dealer's Certificate
OMB: 0910-0021
IC ID: 235825
OMB.report
HHS/FDA
OMB 0910-0021
ICR 201903-0910-001
IC 235825
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Documents and Forms
Document Name
Document Type
Form Form FDA 3038
Submission of NSSP Compliance Documentation
Form and Instruction
Form FDA 3038 Interstate Shellfish Dealer's Certificate
Form FDA 3038 exp 2019.pdf
www.accessdata.fda.gov/scripts/shellfish/sh/shellfish.cfm
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Submission of NSSP Compliance Documentation
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
21 CFR 123.6
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Form FDA 3038
Interstate Shellfish Dealer's Certificate
Form FDA 3038 exp 2019.pdf
https://www.accessdata.fda.gov/scripts/shellfish/sh/shellfish.cfm
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:
13
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
13
0
13
0
0
0
Annual IC Time Burden (Hours)
3
0
3
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.