Information Collection Request

Implementation of Sections 222, 223 and 224 of the Food and Drug Administration Act of 2007

ICR 201005-0910-010 · OMB 0910-0625 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3673 Reporting - Annual Initial Registration Requirement for Foreign Establishments To Report Any Changes, Including Agents ,Brokers etc. Form and Instruction New Available
Form 3673 Reporting - Annual Initial Registration Requirements Regarding Any Changes by Foreign Establishments Using FURLS. Establishments Must Specify Listed Product Each Importer Receives Form and Instruction New Available
Form 3673 Reporting - Requirement for Foreign Establishment or U.S. Agent to Report Changes in U.S. Agents Name Address of Telephone Number Within 10 Business Days of Change Form and Instruction New Available
Form 3673 Reporting- Foreign Establishments Response to Questions By FDA Regarding Products Offered for Import into The U.S. Response is Communicated on Behalf of Foreign Establishments United States Agent Form and Instruction New Available
Form 3673 Reporting - Initial Registration & Listing Information ( to be sent by letter) For Owners / Operators Granted a Waiver From Electronic Filing ( one time burden) Form and Instruction New Available
Form 3673 Reporting- Fiscal Year Update Requirements For Owners / Operarors to Review / Update Device Listing Information On File With FDA For the Period October 1 and Ending December 31. Form and Instruction New Available
Form 3673 Reporting- Updates to Registration & Listing Information to Be Made Within 30 days of Change Form and Instruction New Available
Form 3673 Reporting- Annual Registration Requirements Each Fiscal Year For All Establishments Form and Instruction New Repair queued
Form 3673 Reporting- Initial Registration & Listing Requirements for Medical Device Establishments Not Previously Entered Into An Operation Form and Instruction New Available
Form 3673 Reporting - Creation of New Electronic User Accounts by Medical Device Establishments Using FDA`s Unified Registration & Listing Systems ( FURLS) Form and Instruction New Available
Form 3673 21 CFR 807.20 (a) - Reporting - Requirement for Registration & Listing Information for Devices in Commercial Distribution Form and Instruction Modified Available
SS - E- Regs & Listing #2.doc Supporting Statement A Uploaded 2010-04-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
193016 Recordkeeping - Requirement for Owners / Operators to Maintain Additional Listing Information New
193015 Recordkeeping- Requirement For Owners/Operators To maintain Listing Information Of All Officers New
193014 Reporting - Annual Initial Registration Requirement for Foreign Establishments To Report Any Changes, Including Agents ,Brokers etc. Form and Instruction New
193013 Reporting - Annual Initial Registration Requirements Regarding Any Changes by Foreign Establishments Using FURLS. Establishments Must Specify Listed Product Each Importer Receives Form and Instruction New
193012 Reporting - Requirement for Foreign Establishment or U.S. Agent to Report Changes in U.S. Agents Name Address of Telephone Number Within 10 Business Days of Change Form and Instruction New
193011 Reporting- Foreign Establishments Response to Questions By FDA Regarding Products Offered for Import into The U.S. Response is Communicated on Behalf of Foreign Establishments United States Agent Form and Instruction New
193010 Reporting - Initial Registration & Listing Information ( to be sent by letter) ) for Owners / Operators Granted a Waiver ... . ( recurring burden) New
193009 Reporting - Initial Registration & Listing Information ( to be sent by letter) For Owners / Operators Granted a Waiver From Electronic Filing ( one time burden) Form and Instruction New
193008 Reporting- Additional Listing Information that May be Submitted by Postal Mail or Electronically by E-Mail Upon FDA Request New
193007 Reporting- Fiscal Year Update Requirements For Owners / Operarors to Review / Update Device Listing Information On File With FDA For the Period October 1 and Ending December 31. Form and Instruction New
193006 Reporting- Updates to Registration & Listing Information to Be Made Within 30 days of Change Form and Instruction New
193005 Reporting- Annual Registration Requirements Each Fiscal Year For All Establishments Form and Instruction New
193004 Reporting- Initial Registration & Listing Requirements for Medical Device Establishments Not Previously Entered Into An Operation Form and Instruction New
193003 Reporting - Waiver Request Requirements ... . ( Recurring Burden) New
193002 Reporting- Waiver Request Requirements For An Owner or Operator, If Use By Electronic Means for Submission of Registration & Listing Information Is Not Reasonable ( One time burden) New
193001 Reporting - Creation of New Electronic User Accounts by Medical Device Establishments Using FDA`s Unified Registration & Listing Systems ( FURLS) Form and Instruction New
184861 21 CFR 807.20 (a) - Reporting - Requirement for Registration & Listing Information for Devices in Commercial Distribution Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2012 36 Months From Approved 06/30/2012
58,973 0 58,973
71,319 0 71,319
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Reporting- Initial Registration & Listing Requirements for Medical Device Establishments Not Previously Entered Into An Operation 3673 Device registration & Listing Module
Reporting- Annual Registration Requirements Each Fiscal Year For All Establishments 3673 Device Registration & Listing Module
Reporting- Updates to Registration & Listing Information to Be Made Within 30 days of Change 3673 Device registration & Listing Module
Reporting- Fiscal Year Update Requirements For Owners / Operarors to Review / Update Device Listing Information On File With FDA For the Period October 1 and Ending December 31. 3673 Device registration & Listing Module
Reporting- Additional Listing Information that May be Submitted by Postal Mail or Electronically by E-Mail Upon FDA Request
Reporting - Initial Registration & Listing Information ( to be sent by letter) For Owners / Operators Granted a Waiver From Electronic Filing ( one time burden) 3673 Device Registration & Listing Module
Reporting - Initial Registration & Listing Information ( to be sent by letter) ) for Owners / Operators Granted a Waiver ... . ( recurring burden)
Reporting- Foreign Establishments Response to Questions By FDA Regarding Products Offered for Import into The U.S. Response is Communicated on Behalf of Foreign Establishments United States Agent 3673 Device Registration & Listing Module
Reporting - Requirement for Foreign Establishment or U.S. Agent to Report Changes in U.S. Agents Name Address of Telephone Number Within 10 Business Days of Change 3673 Device Registration & Listing Module
Reporting - Annual Initial Registration Requirements Regarding Any Changes by Foreign Establishments Using FURLS. Establishments Must Specify Listed Product Each Importer Receives 3673 Device Registration & Listing Module
Reporting - Annual Initial Registration Requirement for Foreign Establishments To Report Any Changes, Including Agents ,Brokers etc. 3673 Devic Registration & Listing Module
Recordkeeping- Requirement For Owners/Operators To maintain Listing Information Of All Officers
Recordkeeping - Requirement for Owners / Operators to Maintain Additional Listing Information
21 CFR 807.20 (a) - Reporting - Requirement for Registration & Listing Information for Devices in Commercial Distribution 3673 Device Registration & Listing Module
Reporting- Waiver Request Requirements For An Owner or Operator, If Use By Electronic Means for Submission of Registration & Listing Information Is Not Reasonable ( One time burden)
Reporting - Creation of New Electronic User Accounts by Medical Device Establishments Using FDA`s Unified Registration & Listing Systems ( FURLS) 3673 Device Registration & Listing Module
Reporting - Waiver Request Requirements ... . ( Recurring Burden)



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