Orphan Drug: Content and format of a request for designation; Verification of status; Amendment to designation

Orphan Drugs; Common European Medicines Agency/Food and Drug Administration Application Form for Orphan Medicinal Product Designation (Form FDA 3671)

OMB: 0910-0167

IC ID: 181014

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Orphan Drug: Content and format of a request for designation; Verification of status; Amendment to designation
 
No Modified
 
Mandatory
 
21 CFR 316.20 21 CFR 316.21 21 CFR 316.26

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Immunization Management

 

214 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Requested 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 428 0 86 0 0 342
Annual IC Time Burden (Hours) 64,200 0 19,740 0 0 44,460
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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