0523 CoverMemotoOMB 2006

DEPARTMENT OF HEALTH AND HUMAN SERVICES

____________________________________________________________________________________________________________________________

Memorandum

Date

From Deputy Chief Information Officer

Office of the Chief Information Officer

Office of Management, FDA

Subject Request for OMB Approval for “Product Jurisdiction: Assignment of Agency Component for Review of Premarket Applications” (OMB No. 0910-0523) -- EXTENSION

To Chief, Human Resources and Housing Branch

Office of Information and Regulatory Affairs, OMB

Through: Reports Clearance Officer, HHS _________

This memorandum is to request approval of the information collection requirements for
“Product Jurisdiction: Assignment of Agency Component for Review of Premarket Applications”. The estimate of the burden imposed by this information collection will be

1,032 hours.

E. Glenn Rogers Sr.

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