Information Collection

Annual Reports for Sponsors with Active Applications (e-form FDA 3744a)

IC 192141 under ICR 201302-0910-001 · OMB 0910-0659.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0659 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 3744a Annual Reports for Sponsors with Active Applications (e-form FDA 3744a)	Form and Instruction
FDA 3744a Electronic Form FDA 3744 Antimicrobial Animal Drug Distr 0910-0659 FDA 3744a ADUFA eForm Screenshots Dec 2012.doc	Form and Instruction

IC Title:

Annual Reports for Sponsors with Active Applications (e-form FDA 3744a)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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
Form and Instruction	FDA 3744a	Electronic Form FDA 3744 Antimicrobial Animal Drug Distribution Report for ADUFA Section 105	0910-0659 FDA 3744a ADUFA eForm Screenshots Dec 2012.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12

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
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	80	-12	92
Annual IC Time Burden (Hours)	4,000	3,908	92
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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