Voluntary Adverse Event Reporting via the SRP

Electronic Submission of FDA Adverse Event Reports and Other Safety Information Using the Electronic Submission Gateway and the Safety Reporting Portal

OMB: 0910-0645

IC ID: 192360

Documents and Forms
Document Name
Document Type
Other-Other: CVM Reporting
Other-Other: Screen Shots for CTP Su
Other-"Pet" Food Adverse Event
Other-"Livestock" Food Adverse Event
Information Collection (IC) Details

View Information Collection (IC)

Voluntary Adverse Event Reporting via the SRP
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-"Pet" Food Adverse Event 0910-0645 Pet Food Reporting sreen shots from 2010.pdf Yes Yes Fillable Fileable
Other-"Livestock" Food Adverse Event 0910-0645 Livestock Food Reporting screen shots 2013 Sept 6.doc Yes Yes Fillable Fileable
Other-Other: CVM Reporting 0645 IC2 CVM adverse drug experiences and product defects RQ screenshots 2013.pdf Yes No Printable Only
Other-Other: Screen Shots for CTP Submissions CTP SRP Report Wireframes 11192012.pdf Yes No Paper Only

Health Consumer Health and Safety

 

1,513 0
   
Individuals or Households
 
   100 %

  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 1,513 0 0 0 0 1,513
Annual IC Time Burden (Hours) 908 0 0 0 0 908
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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