Information Collection

Form FDA 3542a

IC 179904 under ICR 201309-0910-011 · OMB 0910-0513.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0513 can be found here:

Documents and Forms

Document Name Document Type
Form 35421 Form FDA 3542a Form
35421 Patent Information Submitted With the Filing of an NDA, FORM FDA 3542a.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form FDA 3542a	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 314.50(h) 21 CFR 314.53

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	35421	Patent Information Submitted With the Filing of an NDA, Amendment, or Supplement	FORM FDA 3542a.pdf		Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 201	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	563	163	400
Annual IC Time Burden (Hours)	11,260	9,260	2,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.