Information Collection

Problem Reporting Program For Drugs And Radiopharmaceuticals

IC 109370 under ICR 198112-0910-005 · OMB 0910-0024.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0024 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	PROBLEM REPORTING PROGRAM FOR DRUGS AND RADIOPHARMACEUTICALS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	FD 2519	No	No
Form	2519A	No	No
Form	2822	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,120	-1,330	7,450
Annual IC Time Burden (Hours)	1,020	-223	1,243
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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