Information Collection

361.1(c)(3) - Form FDA 2915

IC 183838 under ICR 201404-0910-014 · OMB 0910-0053.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0053 can be found here:

Documents and Forms

Document Name Document Type
Form 2915 361.1(c)(3) - Form FDA 2915 Form
2915 Report on Research Use of Radioactive Drugs - Study Summ FDA FORM 2915 5-1-14.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	361.1(c)(3) - Form FDA 2915	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 361.1(c)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2915	Report on Research Use of Radioactive Drugs - Study Summary	FDA FORM 2915 5-1-14.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	480	140	340
Annual IC Time Burden (Hours)	1,680	490	1,190
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.