Application for Participation in the Medical Device Fellowship Program; Form FDA 3608

ICR 201102-0910-008

OMB: 0910-0551

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0910-0551 201102-0910-008
Historical Active 200802-0910-003
HHS/FDA
Application for Participation in the Medical Device Fellowship Program; Form FDA 3608
Extension without change of a currently approved collection   No
Regular
Approved without change 03/28/2011
Retrieve Notice of Action (NOA) 02/23/2011
  Inventory as of this Action Requested Previously Approved
03/31/2014 36 Months From Approved 04/30/2011
250 0 250
250 0 250
0 0 0

The purpose of this collection is to develop a pool of qualified external scientific experts and to increase the range and depth of collaborations between CDRH and the outside scientific community. The information will be collected electronically and via U.S. mail and will be used to recruit qualified experts.

US Code: 5 USC 1104 Name of Law: null
   US Code: 5 USC 1302 Name of Law: null
   US Code: 5 USC 3301 Name of Law: null
   US Code: 5 USC 3304 Name of Law: null
   US Code: 5 USC 3320 Name of Law: null
   US Code: 5 USC 3361 Name of Law: null
   US Code: 5 USC 3393 Name of Law: null
   US Code: 5 USC 3394 Name of Law: null
  
None

Not associated with rulemaking

  75 FR 66103 10/27/2010
76 FR 4913 01/27/2011
No

1
IC Title Form No. Form Name
Application for Participation in the Medical Device Fellowship Program; Form FDA 3608 FDA 3608 CDRH Medical Device Fellowship Program

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 250 250 0 0 0 0
Annual Time Burden (Hours) 250 250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$10,750
No
No
No
No
No
Uncollected
Daniel Gitteson 3017965156 daniel.gitteson@fda.hhs.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/23/2011


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