Information Collection

Problem Reporting Program For Drugs And Radiopharmaceuticals

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

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	2519A	No	No
Form	FD 2519	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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded

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

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