Notice of Availability of Sample Electronic Product

ICR 199709-0910-005

OMB: 0910-0048

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
5701
Migrated
ICR Details
0910-0048 199709-0910-005
Historical Active 199304-0910-002
HHS/FDA
Notice of Availability of Sample Electronic Product
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 11/25/1997
Retrieve Notice of Action (NOA) 09/26/1997
This collection is approved on the condition that FDA update form 2767 by revising the burden statement to comply with the Paperwork Reduction Act of 1995 and by revising the expiration date. OMB notes that FDA allowed approval of this collection to lapse which is a violation of the Paperwork Reduction Act. FDA shall take additional steps to ensure that such lapses do not occur in the future.
  Inventory as of this Action Requested Previously Approved
11/30/2000 11/30/2000
1,600 0 0
144 0 0
0 0 0

The FDA has the statutory authority under CFR parts 1020, 1030, 1040, and 1050. The Notice of Availability of Sample Electronic Product (form FDA 2767) is used to inform CDRH of the location of sample products which are being requested for testing to confirm that the products comply with performance standards.

None
None


No

1
IC Title Form No. Form Name
Notice of Availability of Sample Electronic Product

  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 1,600 0 0 1,600 0 0
Annual Time Burden (Hours) 144 0 0 144 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.
09/26/1997


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