Information Collection

MEADERS Adverse Drug Event Reporting System

IC 181661 under ICR 200708-0935-002 · OMB 0935-0135.

Documents and Forms

Document Name Document Type
Attch1MEADERS.doc www.pcrxevents.org/ Other-Adverse Durg Event Reporting T

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MEADERS Adverse Drug Event Reporting System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Adverse Durg Event Reporting Tool			Attch1MEADERS.doc	http://www.pcrxevents.org/	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 385	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	385	385
Annual IC Time Burden (Hours)	32	32
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.