Information Collection

Request for Medical Product Safety Network (MedSun) Qualitative Feedback Generic Clearance about Newsletter Services

IC 202329 under ICR 201105-0910-006 · OMB 0910-0697.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0697 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
APPENDIX A 4.23 .docx	Other-Survey Appendix A
OMB Justification Memo MedSun1.doc OMB Justification Memo MedSun	IC Document
Surveymonkey screens.pdf Surveymonkey Screenshots	IC Document

IC Title:

Request for Medical Product Safety Network (MedSun) Qualitative Feedback Generic Clearance about Newsletter Services

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Appendix A			APPENDIX A 4.23 .docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	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	1,200	0	0	0	0	0
Annual IC Time Burden (Hours)	300	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Justification Memo MedSun	OMB Justification Memo MedSun1.doc	05/16/2012
Surveymonkey Screenshots	Surveymonkey screens.pdf	05/16/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.