Drug Experience Report

DRUG EXPERIENCE REPORT

OMB: 0910-0002

IC ID: 109270

Documents and Forms
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Information Collection (IC) Details

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DRUG EXPERIENCE REPORT
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FD-1639 No No


    

40,000 0
   
Individuals or Households
 
   0 %

  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 40,000 0 0 40,000 0 0
Annual IC Time Burden (Hours) 40,000 0 0 40,000 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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