21 CFR 170.106 (Category A)

Food Additives; Food Contact Substances Notification System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0495 can be found here:

Documents and Forms

Document Name Document Type
Form Form FDA 3479 21 CFR 170.106 (Category A) Form and Instruction
Form FDA 3479 NOTIFICATION FOR A FOOD CONTACT PRA 0495 Form 3479 Scanned-013122.pdf Form and Instruction
Form FDA 3479 NOTIFICATION FOR A FOOD CONTACT PRA 0495 Form 3479 Scanned-013122.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	21 CFR 170.106 (Category A)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 21 CFR 170.106

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 3479	NOTIFICATION FOR A FOOD CONTACT	PRA 0495 Form 3479 Scanned-013122.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	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	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	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.