Information Collection Request

Medical Devices; Medical Device Reporting; Manufacturer reporting; importer reporting, user facility reporting, distributor reporting

ICR 200905-0910-004 · OMB 0910-0437 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3419 Medical Devices; Medical Device Reporting; Manufacturer reporting; importer reporting, user facility reporting, distributor reporting Form and Instruction Modified Available
SS 0910-0437 #2A.doc Supporting Statement A Uploaded 2009-05-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6116 Medical Devices; Medical Device Reporting; Manufacturer reporting; importer reporting, user facility reporting, distributor reporting Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2012 36 Months From Approved 07/31/2009
244,537 0 122,325
294,194 0 138,271
0 0 0





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Medical Devices; Medical Device Reporting; Manufacturer reporting; importer reporting, user facility reporting, distributor reporting 3419 Medical Device Reporting Annual User Facility Report

table that charts list of burden
  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 244,537 122,325 0 0 122,212 0
Annual Time Burden (Hours) 294,194 138,271 0 0 155,923 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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