AGREEMENT FOR SHIPMENT OF DEVICES FOR STERILIZATION

ICR 198610-0910-004

OMB: 0910-0131

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
109670
Migrated
ICR Details
0910-0131 198610-0910-004
Historical Active 198311-0910-005
HHS/FDA
AGREEMENT FOR SHIPMENT OF DEVICES FOR STERILIZATION
Revision of a currently approved collection   No
Regular
Approved without change 12/10/1986
Retrieve Notice of Action (NOA) 10/09/1986
  Inventory as of this Action Requested Previously Approved
12/31/1989 12/31/1989 12/31/1986
130 0 130
3,600 0 520
0 0 0

AGREEMENT IS NEEDED FOR PROPER SHIPMENT, SEGREGATION, AND STERILIZATION OF DEVICES LABELED AS STERILE.

None
None


No

1
IC Title Form No. Form Name
AGREEMENT FOR SHIPMENT OF DEVICES FOR STERILIZATION

  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 130 130 0 0 0 0
Annual Time Burden (Hours) 3,600 520 0 0 3,080 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
10/09/1986


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