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21 CFR 170.106 (Category A)
Food Additives; Food Contact Substances Notification System
OMB: 0910-0495
IC ID: 37671
OMB.report
HHS/FDA
OMB 0910-0495
ICR 202301-0910-004
IC 37671
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0495 can be found here:
2024-04-01 - Revision of a currently approved collection
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
View Information Collection (IC)
IC Title:
21 CFR 170.106 (Category A)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
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:
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 %
Requested
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
20
0
0
0
0
20
Annual IC Time Burden (Hours)
40
0
0
0
0
40
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.