Information Collection Request

Electronic Data Collection Using MedWatchPlus Portal and Rational Questionnaire--21 CFR 310.305, 314.80, 314.98, 514.80, 600.80, 1271.350 and Part 803

ICR 201301-0910-009 · OMB 0910-0645 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3800 Voluntary Adverse Event Report via the SRP Form Modified Available
Form FDA 1932a Early Warning Recall Voluntary View Form Removed Available
0645 SS 2013 .doc Supporting Statement A Uploaded 2013-01-31 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
192365 Early Warning Recall Voluntary Other-system screenshot Removed
192364 Reportable Food (human and animal) Voluntary View Other-system screenshot Removed
192363 Mandatory and Voluntary RFR Reports via the SRP Other-Screenshot Modified
192362 Mandatory Adverse Event Report via the ESG Modified
192361 Mandatory Adverse Event Report via the SRP Other-Screen Shot Modified
192360 Voluntary Adverse Event Report via the SRP Form Modified
189650 Early Warning Recall Voluntary View Form Removed
189649 Reportable Food (human and animal) Voluntary View Other-guidance Removed
189648 Reportable Food (human and animal) Mandatory View Other-screenshots Removed
189647 Mandatory View Using Direct Gateway-to Gateway Transmission Other-screenshots Removed
189646 Mandatory View Using MedWatch Plus Rational Questionnaire Other-screenshots Removed
189645 Voluntary View Other-screenshots Removed

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 04/30/2013
1,365,042 0 1,365,042
462,318 0 462,318
0 0 0







Reginfo record details
  No