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Application for Participation in the Medical Device Fellowship Program; Form FDA 3608
Application for Participation in the Medical Device Fellowship Program; Form FDA 3608
OMB: 0910-0551
IC ID: 6273
OMB.report
HHS/FDA
OMB 0910-0551
ICR 201401-0910-005
IC 6273
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0551 can be found here:
2016-12-08 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FDA 3608
Application for Participation in the Medical Device Fellowship Program; Form FDA 3608
Form and Instruction
FDA 3608 Medical Device Fellowship Program
Form FDA 3608 1-23-14.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Participation in the Medical Device Fellowship Program; Form FDA 3608
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
Form and Instruction
FDA 3608
Medical Device Fellowship Program
Form FDA 3608 1-23-14.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
250
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
95 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
250
0
0
0
0
250
Annual IC Time Burden (Hours)
250
0
0
0
0
250
Annual IC Cost Burden (Dollars)
0
0
0
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.