Information Collection Request

User Fee Cover Sheet

ICR 200911-0910-003 · OMB 0910-0297 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FDA 3397 User Fee Cover Sheet; Form FDA 3397 Form Modified Available
UserFeeCoverSheetBackInstructions 11 2009.doc Supplementary Document Uploaded 2009-11-10 Available
SupportStateUserFeeCoverSheet 11 2009.doc Supporting Statement A Uploaded 2009-11-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
5861 User Fee Cover Sheet; Form FDA 3397 Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2013 36 Months From Approved 01/31/2010
3,917 0 3,762
1,959 0 1,129
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
User Fee Cover Sheet; Form FDA 3397 FDA 3397 User Fee Cover Sheet

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 3,917 3,762 0 155 0 0
Annual Time Burden (Hours) 1,959 1,129 0 830 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No