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Applications for Exemption from Preemption of Medical Device Requirements
Applications for Exemption from Preemption of Medical Device Requirements
OMB: 0910-0129
IC ID: 5738
OMB.report
HHS/FDA
OMB 0910-0129
ICR 199705-0910-003
IC 5738
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0129 can be found here:
2003-04-21 - Extension without change of a currently approved collection
2000-04-10 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Applications for Exemption from Preemption of Medical Device Requirements
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
3
0
3
0
0
0
Annual IC Time Burden (Hours)
330
0
330
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.