Information Collection

Consumer Compliant Monitoring System

IC 2857 under ICR 201206-0583-001 · OMB 0583-0133.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0583-0133 can be found here:

Documents and Forms

Document Name Document Type
20120620-eCCF Screenshots.pptx Other-Web Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consumer Compliant Monitoring System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Web Screens			20120620-eCCF Screenshots.pptx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,000	500	500
Annual IC Time Burden (Hours)	250	125	125
Annual IC Cost Burden (Dollars)	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.