Emergency Medical Device Shortage Program Survey

ICR 200303-0910-005

OMB: 0910-0491

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
6194
Migrated
ICR Details
0910-0491 200303-0910-005
Historical Active 200203-0910-004
HHS/FDA
Emergency Medical Device Shortage Program Survey
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/25/2003
Retrieve Notice of Action (NOA) 03/21/2003
Approved consistent with clarification in FDA memo of 4-24-03.
  Inventory as of this Action Requested Previously Approved
05/31/2006 05/31/2006
250 0 0
125 0 0
0 0 0

FDA will establish and maintain an FDA medical device database which allows FDA to identify locations and manufacturers of hard to locate medical devices in the event of future terrorist incidents. The telephone survey is necessary to collect the information for the database.

None
None


No

1
IC Title Form No. Form Name
Emergency Medical Device Shortage Program Survey

  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 250 0 0 250 0 0
Annual Time Burden (Hours) 125 0 0 125 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.
03/21/2003


© 2022 OMB.report | Privacy Policy