Information Collection

Application for Participation in the Medical Device Fellowship Program; Form FDA 3608

IC 6273 under ICR 201401-0910-005 · OMB 0910-0551.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0551 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FDA 3608 Application for Participation in the Medical Device Fellowship Program; Form FDA 3608	Form and Instruction
FDA 3608 Medical Device Fellowship Program Form FDA 3608 1-23-14.pdf	Form and Instruction

IC Title:

Application for Participation in the Medical Device Fellowship Program; Form FDA 3608

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	FDA 3608	Medical Device Fellowship Program	Form FDA 3608 1-23-14.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	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.