MEDICAL DEVICE REPORTING

ICR 198409-0910-003

OMB: 0910-0201

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
109841
Migrated
ICR Details
0910-0201 198409-0910-003
Historical Active
HHS/FDA
MEDICAL DEVICE REPORTING
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/09/1984
Retrieve Notice of Action (NOA) 09/11/1984
THIS INFORMATION COLLECTION IS APPROVED THROUGH 1/86 TO PERMIT OMB TO PERFORM A THOROUGH PRACTICAL UTILITY REVIEW. UPON RESUBMISSION FDA MU PROVIDE OMB WITH A REPORT OF THE FIRST YEAR'S OPERATION OF THE MDR RUL THIS REPORT SHOULD CONTAIN AN EXPLANATION OF HOW FDA USES THIS SYSTEM FURTHER THE PROTECTION OF THE PUBLIC HEALTH. SPECIFICALLY, THE REPORT MUST INCLUDE: 1. AN ACCOUNTING OF THE NUMBER AND TYPE OF REPORTS (INCLUDING A BREAKDOWN OF TELEPHONE REPORTS AND FOLLOW-UP REPORTS) FIL AND AN APPROPRIATE ADJUSTMENT OF THE ESTIMATED ANNUAL BURDEN. 2. AN EXPLANATION OF HOW FDA HAS USED MDR REPORTS AS A BASIS FOR REGULATORY ACTIONS, INCLUDING BUT NOT LIMITED TO, ENFORCEMENT PROCEEDINGS, CONSIDERATION OF RECLASSIFICATION ACTIONS, PMA REVIEW, 510 (K) REVIEW, WAIVER OF 510 (K) REQUIREMENTS, AND THE DEVELOPMENT OF PERFORMANCE STANDARDS. 3. AN ACCOUNTING OF THE NUMBER OF INSTANCES (AND EXPLANATI THEREOF) IN WHICH FDA NOTIFIED A MANUFACTURER OR IMPORTER THAT A RECOR IS NO LONGER NECESSARY PURSUANT TO 21 CFR 803.24 (D)(4). 4. COPIES OF ALL EXISTING INTERNAL AND PUBLIC DOCUMENTS THAT HAVE BEEN DEVELOPED TO PROVIDE FDA OFFICIALS, OR THE PUBLIC, WITH INFORMATION STEMMING FROM M REPORTS. IN ITS FEDERAL REGISTER NOTICE FDA SHOULD STATE THAT THE SYSTEM HAS BEEN APPROVED FOR ONE YEAR AND THAT A PRACTICAL UTILITY REVIEW WILL BE CONDUCTED BASED UPON ONE YEAR'S EXPERIENCE. FINALLY, A REGULATORY GUIDELINES OF GENERAL APPLICABILITY FOR THE MDR MUST BE SUBMITTED FOR PRA APPROVAL.
  Inventory as of this Action Requested Previously Approved
01/31/1986 01/31/1986
27,660 0 0
109,376 0 0
0 0 0

REQUIRES A MANUFACTURER OR IMPORTER OF MEDICAL DEVICES TO REPORT TO FD WHENEVER THEY POSSESS INFORMATION THAT REASONABLY SUGGESTS THAT A DEVICE HAS CAUSED OR CONTRIBUTED TO A DEATH OR SERIOUS INJURY. IMPORTERS ARE REQUIRED TO ESTABLISH AND MAINTAIN FILES OF REPORTS AND RECORDS.

None
None


No

1
IC Title Form No. Form Name
MEDICAL DEVICE REPORTING

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 27,660 0 0 27,660 0 0
Annual Time Burden (Hours) 109,376 0 0 109,376 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/11/1984


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