Information Collection

Reporting and Recordkeeping for Electronic Products - General Requirements

IC 5678 under ICR 200703-0910-007 · OMB 0910-0025.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 2877
Declaration of Imported Electronic Products Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 2579
Assembler Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 2767
Notice of Availability-Sample electronic Product Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3147
Laser Light Show Variance Application Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3649
Accidental Radiation Occurence Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3626
Diagnostic XRay Major Componets Product Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3627
Diagnostic XRay CT Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3628
General Annual Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3629
Abbreviated Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3630
Sunlamp Product Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3631
Sunlamp Annual Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3632
Laser Product Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3633
General Variance Request Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3634
TV Annual Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3635
Laser Light Show Nodification Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3636
Laser Light Show Annual Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3637
Laser Original equipment Manufacturer Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3638
Annual Report XRay Components and Systems Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3639
Cabinet XRay System Product Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3640
Laser Light Show Product Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3641
Cabinet XRay Annual Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3642
General Correspondence Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3643
Microwave Annual Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3644
Ultrasonic Therapy Product Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3645
Ultrasonic Therapy Annual Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3646
Mercury Vapor Lamp Product Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
Form 3647
Mercury Vapor Lamp Annual Report Reporting and Recordkeeping for Electronic Products - General Requirements
Form and Instruction
2877 Declaration of Imported Electronic Products
07_FDA_Form_2877_Declaration_Imported_Electronic_Products.pdf
Form and Instruction
2579 Assembler Report
05_FDA_2579_Assembler_Report.pdf
Form and Instruction
2767 Notice of Availability-Sample electronic Product
06_FDA_Form_2767_Notice_Availability_Sample_Electronic_Product.pdf
Form and Instruction
3147 Laser Light Show Variance Application
08_FDA_Form_3147_Laser_Light_Show_Variance_Application.pdf
Form and Instruction
3649 Accidental Radiation Occurence
09_FDA_Form_3649_Accidental_Radiation_Occurrence.pdf
Form and Instruction
3626 Diagnostic XRay Major Componets Product
10_FDA_Form_3626_Diagnostic_XRay_Major_Components_Product_Report.pdf
Form and Instruction
3627 Diagnostic XRay CT Report
11_FDA_Form_3627_Diagnostic_XRay_CT_Report.pdf
Form and Instruction
3628 General Annual Report
12_FDA_Form_3628_General_Annual_Report.pdf
Form and Instruction
3629 Abbreviated Report
13_FDA_Form_3629_Abbreviated_Report.pdf
Form and Instruction
3630 Sunlamp Product Report
14_FDA_Form_3630_Sunlamp_Product_Report.pdf
Form and Instruction
3631 Sunlamp Annual Report
15_FDA_Form_3631_Sunlamp_Annual_Report_.pdf
Form and Instruction
3632 Laser Product Report
16_FDA_Form_3632_Laser_Product_Report.pdf
Form and Instruction
3633 General Variance Request
17_FDA_Form_3633_General_Variance_Request.pdf.pdf
Form and Instruction
3634 TV Annual Report
18_FDA_Form_3634_TV_Annual_Report.pdf
Form and Instruction
3635 Laser Light Show Nodification
19_FDA_Form_3635_Laser_Light_Show_Notification.pdf
Form and Instruction
3636 Laser Light Show Annual Report
20_FDA_Form_3636_Laser_Light_Show_Annual_Report.pdf
Form and Instruction
3637 Laser Original equipment Manufacturer Report
21_FDA_Form_3637_Laser_Original_Equipment_Manufacturer_Report.pdf
Form and Instruction
3638 Annual Report XRay Components and Systems
22_FDA_Form_3638_Annual_Report_XRay_Components_and_Systems.pdf
Form and Instruction
3639 Cabinet XRay System Product Report
23_FDA_Form_3639_Cabinet_XRay_System_Product_Report.pdf
Form and Instruction
3640 Laser Light Show Product Report
24_FDA_Form_3640_Laser_Light_Show_Product_Report.pdf
Form and Instruction
3641 Cabinet XRay Annual Report
25_FDA_Form_3641_Cabinet_XRay_Annual_Report.pdf
Form and Instruction
3642 General Correspondence
26_FDA_Form_3642_General_Correspondence.pdf
Form and Instruction
3643 Microwave Annual Report
27_FDA_Form_3643_Microwave_Annual_Report.pdf
Form and Instruction
3644 Ultrasonic Therapy Product Report
28_FDA_Form_3644_Ultrasonic_Therapy_Product_Report.pdf
Form and Instruction
3645 Ultrasonic Therapy Annual Report
29_FDA_Form_3645_Ultrasonic_Therapy_Annual_Report.pdf
Form and Instruction
3646 Mercury Vapor Lamp Product Report
30_FDA_Form_3646_Mercury_Vapor_Lamp_Product_Report.pdf
Form and Instruction
3647 Mercury Vapor Lamp Annual Report
31_FDA_Form_3647_Mercury_Vapor_Lamp_Annual_Report.pdf
Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2877 Yes Yes Fillable Printable
Form and Instruction 2579 Yes Yes Fillable Printable
Form and Instruction 2767 Yes Yes Fillable Printable
Form and Instruction 3147 Yes Yes Fillable Printable
Form and Instruction 3649 Yes Yes Fillable Printable
Form and Instruction 3626 Yes Yes Fillable Printable
Form and Instruction 3627 Yes Yes Fillable Printable
Form and Instruction 3628 Yes Yes Fillable Printable
Form and Instruction 3629 Yes Yes Fillable Printable
Form and Instruction 3630 Yes Yes Fillable Printable
Form and Instruction 3631 Yes Yes Fillable Printable
Form and Instruction 3632 Yes Yes Fillable Printable
Form and Instruction 3633 Yes Yes Fillable Printable
Form and Instruction 3634 Yes Yes Fillable Printable
Form and Instruction 3635 Yes Yes Fillable Printable
Form and Instruction 3636 Yes Yes Fillable Printable
Form and Instruction 3637 Yes Yes Fillable Printable
Form and Instruction 3638 Yes Yes Fillable Printable
Form and Instruction 3639 Yes Yes Fillable Printable
Form and Instruction 3640 Yes Yes Fillable Printable
Form and Instruction 3641 Yes Yes Fillable Printable
Form and Instruction 3642 Yes Yes Fillable Printable
Form and Instruction 3643 Yes Yes Fillable Printable
Form and Instruction 3644 Yes Yes Fillable Printable
Form and Instruction 3645 Yes Yes Fillable Printable
Form and Instruction 3646 Yes Yes Fillable Printable
Form and Instruction 3647 Yes Yes Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 47,355 0 0 12 0 47,343
Annual IC Time Burden (Hours) 342,889 0 0 17,932 0 324,957
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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