Information Collection

Consumer Compliant Monitoring System

IC 2857 under ICR 201806-0583-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
eCCF screenshots document- English.docx Other-web form
eCCF screenshots document - Spanish v2.docx Other-web form - Spanish

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 form			eCCF screenshots document- English.docx		Yes	Yes	Fillable Fileable
Other-web form - Spanish			eCCF screenshots document - Spanish v2.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	750	-250	1,000
Annual IC Time Burden (Hours)	175	-75	250
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.