View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Pediatric Healthcare Provider Interviews on Bioactives in Infant Formula – Phase 2	Agency IC Tracking Number:	CFSAN

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screener			Appendix 1_Infant Formula_HCP IDI Screener.docx		Yes	Yes	Fillable Printable
Other-Guide			Appendix 2_Infant Formula_HCP IDI Guide.docx		Yes	Yes	Fillable Printable
Other-Mock Labels.			Appendix 2_Mock Labels.pdf		Yes	No	Printable Only
Other-Informed Consent Form			Appendix 3_Informed Consent Form Bioactives.docx		Yes	Yes	Fillable Printable

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: 84	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	84	0	84	0	0	0
Annual IC Time Burden (Hours)	43	0	43	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Gen IC Memo	0891 OMB Memo_Phase 2 Infant Formula.docx	12/07/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.