Electronic Submission of Voluntary Allegations to CDRH

Submission to CDRH Allegations of Regulatory Misconduct Associated with Medical Devices

OMB: 0910-0769

IC ID: 211628

Information Collection (IC) Details

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Electronic Submission of Voluntary Allegations to CDRH CDRH
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Reporting Allegations of Regulatory Misconduct - Intro Screen.pdf Yes No Printable Only
Other-Form Reporting Allegations of Regulatory Misconduct _ FDA 11-01-23 (002).pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

2,500 0
   
Individuals or Households
 
   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 2,500 0 0 900 0 1,600
Annual IC Time Burden (Hours) 625 0 0 225 0 400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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