Information Collection

Part II of Prescriber's disclosure obligations to contact lens wearers who read, sign and return a confirmation statement

IC 242401 under ICR 202006-3084-004 · OMB 3084-0127.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3084-0127 can be found here:

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IC Title:	Part II of Prescriber's disclosure obligations to contact lens wearers who read, sign and return a confirmation statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 16 CFR 315(c)(i)(A-(C) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 33,750,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	33,750,000	33,750,000
Annual IC Time Burden (Hours)	93,750	93,750
Annual IC Cost Burden (Dollars)	0	0

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